MATTHEW GARRISON BAKER - Physician Assistant License in Illinois | # 085002208

MATTHEW GARRISON BAKER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002208

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

GARRISON

Last Name

BAKER

Business Name

MATTHEW GARRISON BAKER

Original Issue Date

02/10/2004

Effective Date

02/24/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014