Jack Dwight Baker
InactiveIllinois license 085000005
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085000005
- Status
- Inactive
- First issued
- November 5, 1980
- Expired
- March 1, 1994
- License holder
- Jack Dwight Baker
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 11/05/1980
Other Illinois licenses under this name
-
IL
ExpiredBurlington, WIExpired Mar 31, 1997
Contact
Burlington, WI 53105
Wisconsin County