Idaho
Division of Occupational and Professional Licenses
TERESA A BAKER
Board Of Medicine
License number
LRT-1134
Date granted
10/13/2005
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
7113 MCINTOSH LN APT 18 INDIANAPOLIS IN 46226
idaholicensing.com
ID 48335220
LAST UPDATED 2024-04-04 06:13:01 UTC
LAST UPDATED 2024-04-04 06:13:01 UTC
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