Keith Raymond Baker
Controlled Substance Registration - Physician
Indiana 01030907C Expired
This Indiana license was held by Keith Raymond Baker. The license is no longer active. It was granted on 04/04/1988 and expired on 06/30/1991
LICENSE DETAILS
- License Number: 01030907C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/04/1988 (about 37 years ago)
- Expiry Date: 06/30/1991 (almost 34 years ago)
LOCATIONS
A Address
207 N JACKSON STREET, AUBURN IN 46706