RAYLENE BASTACKY - Registered Nurse License in Illinois | # 041196379

RAYLENE BASTACKY

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196379

License Status

NOT RENEWED

Business

N

First Name

RAYLENE

Last Name

BASTACKY

Business Name

RAYLENE BASTACKY

Original Issue Date

09/15/1980

Effective Date

09/15/1980

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006