NICOLE LYNN BAKER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005205

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNN

Last Name

BAKER

Business Name

NICOLE LYNN BAKER

Original Issue Date

09/26/2002

Effective Date

11/02/2009

Expiration Date

10/31/2011

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/07/2011