EDNA S BAUTISTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041144270

License Status

NOT RENEWED

Business

First Name

EDNA S

Last Name

BAUTISTA

Business Name

EDNA S BAUTISTA

Original Issue Date

09/29/1972

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

08/16/2010