SHANE E BAKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086448

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

BAKER

Business Name

SHANE E BAKER

Original Issue Date

09/06/2001

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005