KEITH D BACKES Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043053879

License Status

INACTIVE

Business

First Name

KEITH D

Last Name

BACKES

Business Name

KEITH D BACKES

Original Issue Date

01/13/1982

Effective Date

11/15/2010

Expiration Date

01/31/2013

City

MOUNT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

11/08/2012