MANUEL P BAUTISTA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109602

License Status

INACTIVE

Business

First Name

MANUEL P

Last Name

BAUTISTA

Business Name

MANUEL P BAUTISTA

Original Issue Date

04/01/1964

Effective Date

04/01/1964

Expiration Date

05/31/1996

City

ST. LOUIS

State

Zip

63128

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006