LAVINE BETH BAKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041173314

License Status

NOT RENEWED

Business

First Name

LAVINE BETH

Last Name

BAKER

Business Name

LAVINE BETH BAKER

Original Issue Date

05/12/1977

Effective Date

09/18/2020

Expiration Date

08/31/2022

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

10/14/2022