AMISHA M BAKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001598

License Status

NOT RENEWED

Business

First Name

AMISHA

Middle

Last Name

BAKER

Business Name

AMISHA M BAKER

Original Issue Date

07/12/2001

Effective Date

07/19/2012

Expiration Date

03/01/2014

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/15/2014