ANDREW BAKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007988

License Status

NOT RENEWED

Business

First Name

ANDREW

Last Name

BAKER

Business Name

ANDREW BAKER

Original Issue Date

10/02/2020

Effective Date

02/04/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60606

Ever Disciplined

LastModifiedDate

02/05/2025