JUDITH A BANTA - Registered Nurse License in New Mexico | # 041159954

JUDITH A BANTA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159954

License Status

INACTIVE

Business

N

First Name

JUDITH A

Last Name

BANTA

Business Name

JUDITH A BANTA

Original Issue Date

03/11/1975

Effective Date

03/11/1975

State

NM

Ever Disciplined

N

LastModifiedDate

09/27/2006