JACQUELINE A BAUTISTA - Advanced Practice Nurse License in Illinois | # 209000854

JACQUELINE A BAUTISTA

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000854

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE A

Last Name

BAUTISTA

Business Name

JACQUELINE A BAUTISTA

Original Issue Date

06/12/2001

Effective Date

05/07/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014