AMISHA M BAKER - Physician Assistant License in Illinois | # 085001598

AMISHA M BAKER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001598

License Status

NOT RENEWED

Business

N

First Name

AMISHA

Middle

M

Last Name

BAKER

Business Name

AMISHA M BAKER

Original Issue Date

07/12/2001

Effective Date

07/19/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

08/15/2014