HERMAN LEE BASTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158152

License Status

NOT RENEWED

Business

First Name

HERMAN LEE

Last Name

BASTIN

Business Name

HERMAN LEE BASTIN

Original Issue Date

12/06/1974

Effective Date

04/14/2014

Expiration Date

05/31/2016

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016