MICHAEL BARAJAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

BARAJAS

Business Name

MICHAEL BARAJAS

Original Issue Date

06/20/2017

Effective Date

02/13/2020

Expiration Date

03/01/2022

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022