THERESA M BAKER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041141707

License Status

INACTIVE

Business

First Name

THERESA M

Last Name

BAKER

Business Name

THERESA M BAKER

Original Issue Date

09/29/1971

Effective Date

05/03/2010

Expiration Date

05/31/2012

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/08/2012