DAVID W BAKER Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****50

License Status

CANCELLED

Business

First Name

DAVID W

Last Name

BAKER

Business Name

DAVID W BAKER

Original Issue Date

01/13/1997

Effective Date

02/25/2004

Expiration Date

03/31/2006

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006