KRISTINE L BAUTISTA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

Last Name

BAUTISTA

Business Name

KRISTINE L BAUTISTA

Original Issue Date

07/07/2020

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026