GAY G BAUTISTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043091041

License Status

NOT RENEWED

Business

First Name

GAY

Middle

Last Name

BAUTISTA

Business Name

GAY G BAUTISTA

Original Issue Date

02/09/2005

Effective Date

02/09/2005

Expiration Date

01/31/2007

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007