BRYAN O'NEAL BAXLEY - Registered Nurse License in Illinois | # 041316479

BRYAN O'NEAL BAXLEY

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041316479

License Status

NOT RENEWED

Business

N

First Name

BRYAN

Middle

O'NEAL

Last Name

BAXLEY

Business Name

BRYAN O'NEAL BAXLEY

Original Issue Date

09/09/1999

Effective Date

09/09/1999

Expiration Date

05/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006