MANISA PHOPHAIRAT BAKER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041318068

License Status

ACTIVE

Business

First Name

MANISA

Middle

PHOPHAIRAT

Last Name

BAKER

Business Name

MANISA PHOPHAIRAT BAKER

Original Issue Date

01/14/2000

Effective Date

03/25/2024

Expiration Date

05/31/2026

City

SAINT JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

02/28/2026