SOLOMON Q BAISA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041313073

License Status

NOT RENEWED

Business

First Name

SOLOMON

Middle

Last Name

BAISA

Business Name

SOLOMON Q BAISA

Original Issue Date

02/03/1999

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/16/2010