JACOB T BAKER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030458

License Status

ACTIVE

Business

First Name

JACOB

Middle

Last Name

BAKER

Business Name

JACOB T BAKER

Original Issue Date

09/04/2024

Effective Date

09/04/2024

Expiration Date

05/31/2026

City

SANDOVAL

State

Zip

62882

County

MARION

Ever Disciplined

LastModifiedDate

03/02/2026