KATHLEEN A BAKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122505

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

BAKER

Business Name

KATHLEEN A BAKER

Original Issue Date

09/07/1967

Effective Date

05/31/2018

Expiration Date

09/30/2020

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

01/14/2021