Travis Jerard Baisden
ExpiredIllinois license 085010232
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085010232
- Status
- Expired (Not Renewed)
- First issued
- December 26, 2023
- Expired
- March 1, 2026
- License holder
- Travis Jerard Baisden
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 12/26/2023
Contact
Virginia Beach, VA 23456