ANNIE M BAXA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041234245

License Status

NOT RENEWED

Business

First Name

ANNIE M

Last Name

BAXA

Business Name

ANNIE M BAXA

Original Issue Date

12/05/1985

Effective Date

04/04/2012

Expiration Date

05/31/2014

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

07/03/2014