MARSHA ELAINE BANTA - Registered Nurse License in Indiana | # 041353251

MARSHA ELAINE BANTA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041353251

License Status

INACTIVE

Business

N

First Name

MARSHA

Middle

ELAINE

Last Name

BANTA

Business Name

MARSHA ELAINE BANTA

Original Issue Date

07/07/2006

Effective Date

04/28/2010

Expiration Date

05/31/2012

State

IN

Ever Disciplined

N

LastModifiedDate

03/08/2012