SAMUEL A BAILEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001646

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

BAILEY

Business Name

SAMUEL A BAILEY

Original Issue Date

10/26/2001

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

12/04/2025