KATHY ELAINE BAKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341712

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

ELAINE

Last Name

BAKER

Business Name

KATHY ELAINE BAKER

Original Issue Date

08/10/2004

Effective Date

08/10/2004

Expiration Date

05/31/2008

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/11/2008