STEPHANI BAKER - Physician Assistant License in Illinois | # 085008073

STEPHANI BAKER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008073

License Status

NOT RENEWED

Business

N

First Name

STEPHANI

Last Name

BAKER

Business Name

STEPHANI BAKER

Original Issue Date

11/06/2020

Effective Date

11/06/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022