AMISHA M BAKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

NOT RENEWED

Business

First Name

AMISHA

Middle

Last Name

BAKER

Business Name

AMISHA M BAKER

Original Issue Date

10/19/2006

Effective Date

04/15/2010

Expiration Date

03/01/2012

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/15/2014