TAMMY J BASTIAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121883

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

BASTIAN

Business Name

TAMMY J BASTIAN

Original Issue Date

12/16/2015

Effective Date

12/16/2015

Expiration Date

01/31/2017

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/27/2017