STACY ANN BAUM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

ACTIVE

Business

First Name

STACY

Middle

ANN

Last Name

BAUM

Business Name

STACY ANN BAUM

Original Issue Date

11/05/2008

Effective Date

02/27/2026

Expiration Date

03/01/2028

City

SOUTH ELGIN

State

Zip

60177

County

LAKE

Ever Disciplined

LastModifiedDate

02/27/2026