THOMAS L BASTIAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041222673

License Status

INACTIVE

Business

First Name

THOMAS L

Last Name

BASTIAN

Business Name

THOMAS L BASTIAN

Original Issue Date

05/14/1984

Effective Date

05/14/1984

Expiration Date

05/31/1996

City

NEW BADEN

State

Zip

62265

County

CLINTON

Ever Disciplined

LastModifiedDate

09/27/2006