JACQUELINE A BAUTISTA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041100449

License Status

INACTIVE

Business

First Name

JACQUELINE A

Last Name

BAUTISTA

Business Name

JACQUELINE A BAUTISTA

Original Issue Date

08/23/1961

Effective Date

05/07/2012

Expiration Date

05/31/2014

City

HARWOOD HEIGHTS

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2014