STEPHANIE JOANNE BAUMANN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009004

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

JOANNE

Last Name

BAUMANN

Business Name

STEPHANIE JOANNE BAUMANN

Original Issue Date

07/05/2022

Effective Date

07/05/2022

Expiration Date

03/01/2024

City

CHARLOTTE

State

Zip

28203

Ever Disciplined

LastModifiedDate

02/05/2025