License holder summary

Lisa Jane Baker is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Lisa Jane Baker is 4217 EAST THIRD STREET, BLOOMINGTON IN 47401. This licensed professional license is current. The license was granted 07/06/1989 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Lisa Jane Baker
Controlled Substance Registration - Dentist
License number
12009106B
Date granted
07/06/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4217 EAST THIRD STREET, BLOOMINGTON IN 47401
indianalicensing.org
ID 5083289
LAST UPDATED 2026-03-29 18:15:11 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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