CAROLYN G BAUTISTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101043

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

BAUTISTA

Business Name

CAROLYN G BAUTISTA

Original Issue Date

12/13/2005

Effective Date

12/13/2005

Expiration Date

01/31/2007

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007