BETH A BACA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343195

License Status

NOT RENEWED

Business

First Name

BETH

Middle

Last Name

BACA

Business Name

BETH A BACA

Original Issue Date

10/14/2004

Effective Date

10/14/2004

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006