ELIZAR O BASTE - Registered Nurse License in Illinois | # 041349114

ELIZAR O BASTE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041349114

License Status

NOT RENEWED

Business

N

First Name

ELIZAR

Middle

O

Last Name

BASTE

Business Name

ELIZAR O BASTE

Original Issue Date

09/23/2005

Effective Date

04/05/2016

Expiration Date

05/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2018