JAMIE ELIZABETH BASTEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

ACTIVE

Business

First Name

JAMIE

Middle

ELIZABETH

Last Name

BASTEN

Business Name

JAMIE ELIZABETH BASTEN

Original Issue Date

05/31/2024

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026