NATHAN BAKER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011594

License Status

ACTIVE

Business

First Name

NATHAN

Last Name

BAKER

Business Name

NATHAN BAKER

Original Issue Date

08/20/2025

Effective Date

08/20/2025

Expiration Date

03/01/2026

City

LAFAYETTE

State

Zip

70508

Ever Disciplined

LastModifiedDate

12/03/2025