TRAVIS JERARD BAISDEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010232

License Status

ACTIVE

Business

First Name

TRAVIS

Middle

JERARD

Last Name

BAISDEN

Business Name

TRAVIS JERARD BAISDEN

Original Issue Date

12/26/2023

Effective Date

12/26/2023

Expiration Date

03/01/2026

City

VIRGINIA BEACH

State

Zip

23456

Ever Disciplined

LastModifiedDate

12/03/2025