RAYLENE BASTACKY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196379

License Status

NOT RENEWED

Business

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

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006