MATTHEW A BASTASA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041565694

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

Last Name

BASTASA

Business Name

MATTHEW A BASTASA

Original Issue Date

05/22/2024

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

MORTON GROVE

State

Zip

60053

Ever Disciplined

LastModifiedDate

03/17/2026