DANIELLE MARIE BAKALAR Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

INOPERATIVE

Business

First Name

DANIELLE

Middle

MARIE

Last Name

BAKALAR

Business Name

DANIELLE MARIE BAKALAR

Original Issue Date

02/04/2013

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2018