The holder whose full name is Baker, Douglas Randall,come from Plano TX,hold the Physician license(NO.01045517A) which status is Expired Non-Renewable.
| Name | Baker, Douglas Randall |
|---|---|
| License Number | 01045517A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Plano |
| State | TX |