BRYAN O'NEAL BAXLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041316479

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

O'NEAL

Last Name

BAXLEY

Business Name

BRYAN O'NEAL BAXLEY

Original Issue Date

09/09/1999

Effective Date

09/09/1999

Expiration Date

05/31/2000

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2006