THOMAS J BAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041289712

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

BAK

Business Name

THOMAS J BAK

Original Issue Date

07/26/1995

Effective Date

05/11/2012

Expiration Date

05/31/2014

City

EARLVILLE

State

Zip

60518

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/03/2014