ANAYA S BAEZA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041428192

License Status

NOT RENEWED

Business

First Name

ANAYA

Middle

Last Name

BAEZA

Business Name

ANAYA S BAEZA

Original Issue Date

03/04/2015

Effective Date

03/18/2016

Expiration Date

05/31/2018

City

ROCKFORD

State

Zip

61110

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018