Earl L Baker Md Controlled Substance Registration for Practitioner
591 Wingfoot Road, Orange, CT 064772743


Earl L Baker Md is licensed in the eLicensing system of Connecticut. The license credential ID is 150809. The license type is CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER. The license status is ACTIVE. The address is 591 Wingfoot Road, Orange, CT 064772743. The zip code is 06477.


Earl L Baker Md · 591 Wingfoot Road, Orange, CT 064772743

Credential ID 150809
Name EARL L BAKER MD
Type INDIVIDUAL
Address 591 WINGFOOT ROAD
ORANGE, CT 064772743
License Credential CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Full Credential Code CSP.0003561
Credential Type CSP
Credential Number 3561
Status ACTIVE
Status Reason CURRENT
Active 1
Effective Date 03/01/2015
Expiration Date 02/28/2017
Record Refresh Date 02/13/201

Zip 06477 · Controlled Substance Registration for Practitioner · Connecticut Business

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