ALISON BAXTER GIUNTA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

NOT RENEWED

Business

First Name

ALISON

Middle

BAXTER

Last Name

GIUNTA

Business Name

ALISON BAXTER GIUNTA

Original Issue Date

03/23/2001

Effective Date

05/30/2018

Expiration Date

03/01/2020

City

HINSDALE

State

Zip

60521

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020