KERRI ANN BAKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006458

License Status

NOT RENEWED

Business

First Name

KERRI

Middle

ANN

Last Name

BAKER

Business Name

KERRI ANN BAKER

Original Issue Date

12/05/2017

Effective Date

12/05/2017

Expiration Date

03/01/2020

City

GUTHRIE

State

Zip

73044

County

LOGAN

Ever Disciplined

LastModifiedDate

11/24/2020