Manisa Phophairat Baker

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

209006813

Status

Inactive

First issued

October 12, 2007

Expired

August 31, 2022

License holder

Manisa Phophairat Baker

Entity type

Individual

Classifications

• Advanced Practice Registered Nurse Nursing

More from the license record

Current term began

06/29/2020

Other Illinois licenses under this name

• IL
  Manisa Phophairat Baker

  License 041318068

  Registered Professional Nurse (Nursing Board)
  Active

  Saint John, IN

  Expires May 31, 2028
• IL
  Manisa Phophairat Baker

  License 277002006

  Full Practice Authority Aprn (Adv Practice Nurse)
  Active

  Saint John, IN

  Expires May 31, 2028

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