SHANE E BAKER - Registered Nurse License in Illinois | # 043086448

SHANE E BAKER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086448

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

E

Last Name

BAKER

Business Name

SHANE E BAKER

Original Issue Date

09/06/2001

Effective Date

03/04/2003

Expiration Date

01/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005