MARK A BAKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041291287

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

BAKER

Business Name

MARK A BAKER

Original Issue Date

08/28/1995

Effective Date

05/06/2008

Expiration Date

05/31/2010

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

08/16/2010

Case Number

1999008417

Action

Probation

Discipline Start Date

03/17/2001

Discipline End Date

02/22/2002

Discipline Reason

Diverted Demerol and Vicodin, and tested positive for morphine.