DIANE MARIE BAKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043033700

License Status

NOT RENEWED

Business

First Name

DIANE MARIE

Last Name

BAKER

Business Name

DIANE MARIE BAKER

Original Issue Date

01/21/1974

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005