MA TERESITA M BAUTISTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041167657

License Status

NOT RENEWED

Business

First Name

MA TERESITA M

Last Name

BAUTISTA

Business Name

MA TERESITA M BAUTISTA

Original Issue Date

08/09/1976

Effective Date

08/09/1976

City

FORT SMITH

State

Zip

72901

County

ARKANSAS

Ever Disciplined

LastModifiedDate

09/27/2006