MELODY ANN BAUMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

ACTIVE

Business

First Name

MELODY

Middle

ANN

Last Name

BAUMAN

Business Name

MELODY ANN BAUMAN

Original Issue Date

10/18/2017

Effective Date

02/22/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/22/2026