DAVID MICHAEL BAKER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004265

License Status

EXPIRED

Business

First Name

DAVID

Middle

MICHAEL

Last Name

BAKER

Business Name

DAVID MICHAEL BAKER

Original Issue Date

04/15/2020

Effective Date

04/15/2020

Expiration Date

04/30/2022

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022