License holder summary

Terry Leo Baker is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Terry Leo Baker is 6496 NORTH PIQUA ROAD, DECATUR IN 46733. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Terry Leo Baker
Controlled Substance Registration - Dentist
License number
12007836B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6496 NORTH PIQUA ROAD, DECATUR IN 46733
indianalicensing.org
ID 5089459
LAST UPDATED 2024-02-07 16:13:28 UTC

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