HERMAN LEE BASTIN - Registered Nurse License in Illinois | # 041158152

HERMAN LEE BASTIN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158152

License Status

NOT RENEWED

Business

N

First Name

HERMAN LEE

Last Name

BASTIN

Business Name

HERMAN LEE BASTIN

Original Issue Date

12/06/1974

Effective Date

04/14/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016