SUSAN DIANE BAKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041368454

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

DIANE

Last Name

BAKER

Business Name

SUSAN DIANE BAKER

Original Issue Date

07/01/2008

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

PHIPPSBURG

State

Zip

80469

County

COLORADO

Ever Disciplined

LastModifiedDate

01/14/2021