MARTHA J BASTIDA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136633

License Status

INACTIVE

Business

First Name

MARTHA J

Last Name

BASTIDA

Business Name

MARTHA J BASTIDA

Original Issue Date

08/31/1970

Effective Date

08/31/1970

City

ST. LOUIS

State

Zip

63109

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006