TONI A BACA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340222

License Status

NOT RENEWED

Business

First Name

TONI

Middle

Last Name

BACA

Business Name

TONI A BACA

Original Issue Date

06/09/2004

Effective Date

09/29/2020

Expiration Date

08/31/2022

City

MEDFORD

State

Zip

97504

County

DEKALB

Ever Disciplined

LastModifiedDate

10/14/2022