ANDREW BAKER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

INOPERATIVE

Business

First Name

ANDREW

Last Name

BAKER

Business Name

ANDREW BAKER

Original Issue Date

01/26/2021

Effective Date

01/26/2021

Expiration Date

03/01/2022

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

01/03/2022