JACQUELYNN DANIELLE BAKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004581

License Status

NOT RENEWED

Business

First Name

JACQUELYNN

Middle

DANIELLE

Last Name

BAKER

Business Name

JACQUELYNN DANIELLE BAKER

Original Issue Date

11/30/2012

Effective Date

01/28/2014

Expiration Date

03/01/2016

City

EUREKA

State

Zip

63025

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/25/2016