CARISSA L BAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078905

License Status

NOT RENEWED

Business

First Name

CARISSA L

Last Name

BAK

Business Name

CARISSA L BAK

Original Issue Date

02/05/1996

Effective Date

01/28/2019

Expiration Date

01/31/2021

City

KAPPA

State

Zip

61738

County

WOODFORD

Ever Disciplined

LastModifiedDate

03/11/2021