STEPHANI BAKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008073

License Status

NOT RENEWED

Business

First Name

STEPHANI

Last Name

BAKER

Business Name

STEPHANI BAKER

Original Issue Date

11/06/2020

Effective Date

11/06/2020

Expiration Date

03/01/2022

City

SAINT CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

07/27/2022