MONTIE WAYNE BAYLOR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005784

License Status

NOT RENEWED

Business

First Name

MONTIE

Middle

WAYNE

Last Name

BAYLOR

Business Name

MONTIE WAYNE BAYLOR

Original Issue Date

10/28/2005

Effective Date

05/19/2018

Expiration Date

09/30/2020

City

JACKSON

State

Zip

63755

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021