ELVIRA BAUTISTA DIAZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041173152

License Status

INACTIVE

Business

First Name

ELVIRA BAUTISTA

Last Name

DIAZ

Business Name

ELVIRA BAUTISTA DIAZ

Original Issue Date

05/12/1977

Effective Date

05/12/1977

Expiration Date

05/31/2004

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006