GLENN M BAUTISTA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041350044

License Status

ACTIVE

Business

First Name

GLENN

Middle

Last Name

BAUTISTA

Business Name

GLENN M BAUTISTA

Original Issue Date

11/15/2005

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

02/28/2026