DAVE JOHN BAKKER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002761

License Status

ACTIVE

Business

First Name

DAVE

Middle

JOHN

Last Name

BAKKER

Business Name

DAVE JOHN BAKKER

Original Issue Date

08/04/2006

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

12/03/2025