GAY G BAUTISTA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016649

License Status

INACTIVE

Business

First Name

GAY

Middle

Last Name

BAUTISTA

Business Name

GAY G BAUTISTA

Original Issue Date

09/22/2017

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

11/10/2025