THOMAS MICHAEL BAKER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

MICHAEL

Last Name

BAKER

Business Name

THOMAS MICHAEL BAKER

Original Issue Date

04/14/2021

Effective Date

04/14/2021

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022