DAVE JOHN BAKKER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

ACTIVE

Business

First Name

DAVE

Middle

JOHN

Last Name

BAKKER

Business Name

DAVE JOHN BAKKER

Original Issue Date

09/15/2006

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

BATAVIA

State

Zip

60510

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025