KEITH C BAKER - Registered Nurse License in Idaho | # 041549606

KEITH C BAKER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041549606

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

C

Last Name

BAKER

Business Name

KEITH C BAKER

Original Issue Date

08/07/2023

Effective Date

08/07/2023

Expiration Date

06/30/2024

State

ID

Ever Disciplined

N

LastModifiedDate

02/05/2025