GAY G BAUTISTA - Advanced Practice Nurse License in Illinois | # 209016649

GAY G BAUTISTA

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016649

License Status

INACTIVE

Business

N

First Name

GAY

Middle

G

Last Name

BAUTISTA

Business Name

GAY G BAUTISTA

Original Issue Date

09/22/2017

Effective Date

04/12/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

11/10/2025