Keith Raymond Baker
Controlled Substance Registration - Physician
Indiana 01030907E Expired
This Indiana license was held by Keith Raymond Baker. The license is no longer active. It was granted on 07/31/2009 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01030907E
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/31/2009 (almost 17 years ago)
- Expiry Date: 10/31/2013 (over 12 years ago)
LOCATIONS
A Address
333 N. Oak St., Suite 3, Columbia City IN 46725