TERESA R BASTIAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041241136

License Status

ACTIVE

Business

First Name

TERESA R

Last Name

BASTIAN

Business Name

TERESA R BASTIAN

Original Issue Date

04/30/1987

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/28/2026