CAROLYN A BAUTISTA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019411

License Status

ACTIVE

Business

First Name

CAROLYN A

Last Name

BAUTISTA

Business Name

CAROLYN A BAUTISTA

Original Issue Date

05/08/2019

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

03/13/2026