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*****29

License Status

NOT RENEWED

Business

First Name

SCOTT M

Last Name

BAKER

Business Name

SCOTT M BAKER

Original Issue Date

08/10/2001

Effective Date

08/10/2001

Expiration Date

05/31/2004

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006