TARA M BAUTISTA - Registered Nurse License in Illinois | # 041366451

TARA M BAUTISTA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041366451

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

M

Last Name

BAUTISTA

Business Name

TARA M BAUTISTA

Original Issue Date

03/03/2008

Effective Date

03/16/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

03/06/2025