PAZ BAUTISTA FORTES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128458

License Status

NOT RENEWED

Business

First Name

PAZ BAUTISTA

Last Name

FORTES

Business Name

PAZ BAUTISTA FORTES

Original Issue Date

10/24/1968

Effective Date

05/12/2014

Expiration Date

05/31/2016

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/11/2016