JENAYE BAKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007127

License Status

NOT RENEWED

Business

First Name

JENAYE

Last Name

BAKER

Business Name

JENAYE BAKER

Original Issue Date

07/25/2019

Effective Date

07/25/2019

Expiration Date

03/01/2020

City

CANTON

State

Zip

44714

Ever Disciplined

LastModifiedDate

11/24/2020