LAUREN BAKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006488

License Status

NOT RENEWED

Business

First Name

LAUREN

Last Name

BAKER

Business Name

LAUREN BAKER

Original Issue Date

01/23/2018

Effective Date

01/23/2018

Expiration Date

03/01/2020

City

PALM BAY

State

Zip

32907

Ever Disciplined

LastModifiedDate

11/24/2020