Keith Raymond Baker
Controlled Substance Registration - Physician
Indiana 01030907D Expired
This Indiana license was held by Keith Raymond Baker. The license is no longer active. It was granted on 04/21/1989 and expired on 06/30/1991
LICENSE DETAILS
- License Number: 01030907D
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/21/1989 (about 36 years ago)
- Expiry Date: 06/30/1991 (almost 34 years ago)
LOCATIONS
A Address
1919 LAKE AVENUE P O BOX 400, PLYMOUTH IN 46563