License holder summary

David R. Baker is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for David R. Baker is Summit Radiology, P.C., 5001 US Highway 30 W Ste D, Fort Wayne IN 46818-9701. This licensed professional license is current. The license was granted 01/28/2011 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

David R. Baker
Controlled Substance Registration-Physician Assistant
License number
10001134B
Date granted
01/28/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Summit Radiology, P.C., 5001 US Highway 30 W Ste D, Fort Wayne IN 46818-9701
indianalicensing.org
ID 8386504
LAST UPDATED 2024-03-25 18:38:05 UTC

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