EMILY BAUTISTA GAWARAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

EMILY

Middle

BAUTISTA

Last Name

GAWARAN

Business Name

EMILY BAUTISTA GAWARAN

Original Issue Date

04/07/2016

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026