JAKAYLA TANYKA HART-BAKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084966

License Status

ACTIVE

Business

Title

First Name

JAKAYLA

Middle

TANYKA

Last Name

HART-BAKER

Business Name

JAKAYLA TANYKA HART-BAKER MD

Original Issue Date

06/28/2024

Effective Date

06/28/2024

Expiration Date

06/27/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics/Psychiatry/Child/Adolescent Psychiatry

Ever Disciplined

LastModifiedDate

06/23/2024