MIRIAM BAUTISTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043114456

License Status

NOT RENEWED

Business

First Name

MIRIAM

Last Name

BAUTISTA

Business Name

MIRIAM BAUTISTA

Original Issue Date

03/05/2012

Effective Date

01/03/2013

Expiration Date

01/31/2015

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

03/09/2015