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 The license is no longer active.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