Keith Raymond Baker

Controlled Substance Registration - Physician

Indiana  01030907B   Expired

This Indiana license was held by Keith Raymond Baker. The license is no longer active. It was granted on 07/31/1986 and expired on 06/30/1997

LICENSE DETAILS

  • License Number: 01030907B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 07/31/1986 (almost 39 years ago)
  • Expiry Date: 06/30/1997 (almost 28 years ago)

LOCATIONS

A Address

EDGEWOOD CLINIC INC, 2900 WEST 16TH STREET, BEDFORD IN 47421