MENANDRO A BAUTISTA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129782

License Status

INACTIVE

Business

First Name

MENANDRO A

Last Name

BAUTISTA

Business Name

MENANDRO A BAUTISTA

Original Issue Date

01/21/1969

Effective Date

04/05/2010

Expiration Date

05/31/2012

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/08/2012