BENEDICTO F BAUTISTA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000660

License Status

INACTIVE

Business

First Name

BENEDICTO F

Last Name

BAUTISTA

Business Name

BENEDICTO F BAUTISTA

Original Issue Date

06/07/2001

Effective Date

06/07/2001

Expiration Date

05/31/2006

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

06/09/2008