DANIELLE MARIE BAKALAR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004579

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

MARIE

Last Name

BAKALAR

Business Name

DANIELLE MARIE BAKALAR

Original Issue Date

11/29/2012

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2018