KATHLEEN A BAKER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004925

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

BAKER

Business Name

KATHLEEN A BAKER

Original Issue Date

06/19/1995

Effective Date

11/29/2011

Expiration Date

11/30/2013

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Ever Disciplined

LastModifiedDate

02/19/2014