JACQUELINE A BAUTISTA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000854

License Status

NOT RENEWED

Business

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

City

HARWOOD HEIGHTS

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014