ANDREA T BAUTISTA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041182640

License Status

INACTIVE

Business

First Name

ANDREA T

Last Name

BAUTISTA

Business Name

ANDREA T BAUTISTA

Original Issue Date

10/16/1978

Effective Date

10/16/1978

Expiration Date

05/01/1982

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006