EDDIS M BAKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041335246

License Status

NOT RENEWED

Business

First Name

EDDIS

Middle

Last Name

BAKER

Business Name

EDDIS M BAKER

Original Issue Date

05/30/2003

Effective Date

05/30/2003

Expiration Date

05/31/2004

City

JACKSON

State

Zip

39212

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

10/09/2006