WYATT DALE BAXTER - Physician Assistant License in Illinois | # 085005627

WYATT DALE BAXTER

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005627

License Status

ACTIVE

Business

N

First Name

WYATT

Middle

DALE

Last Name

BAXTER

Business Name

WYATT DALE BAXTER

Original Issue Date

09/08/2015

Effective Date

12/05/2025

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2025