BAKISTA WAGNAC Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041428228

License Status

NOT RENEWED

Business

First Name

BAKISTA

Last Name

WAGNAC

Business Name

BAKISTA WAGNAC

Original Issue Date

03/05/2015

Effective Date

03/05/2015

Expiration Date

05/31/2016

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/11/2016