RUSTY GENE BAKER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007222

License Status

ACTIVE

Business

First Name

RUSTY

Middle

GENE

Last Name

BAKER

Business Name

RUSTY GENE BAKER

Original Issue Date

08/21/2019

Effective Date

01/08/2026

Expiration Date

03/01/2028

City

MCHENRY

State

Zip

60051

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/08/2026