ANNE MARGARET BAUTISTA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

ANNE

Middle

MARGARET

Last Name

BAUTISTA

Business Name

ANNE MARGARET BAUTISTA

Original Issue Date

06/11/2025

Effective Date

06/11/2025

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026