Michigan
Department of Licensing and Regulation
GENEVIEVE THERESE BASTOS
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704216473
Date granted
11/08/2005
Date expires
03/31/2015
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Active
Address
Portage, MI 49024
michiganlicensing.org
ID 25856914
LAST UPDATED 2026-05-20 11:06:42 UTC
LAST UPDATED 2026-05-20 11:06:42 UTC
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