TERESA LYNN BACCUS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089634

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

LYNN

Last Name

BACCUS

Business Name

TERESA LYNN BACCUS

Original Issue Date

03/02/2004

Effective Date

12/03/2012

Expiration Date

01/31/2015

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/09/2015