SCOTT M BAKER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

SCOTT M

Last Name

BAKER

Business Name

SCOTT M BAKER

Original Issue Date

02/04/2004

Effective Date

02/04/2004

Expiration Date

05/31/2006

City

MILFORD

State

Zip

60953

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/09/2006