DAVID BANTA - Registered Nurse License in Wisconsin | # 041502452

DAVID BANTA

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041502452

License Status

ACTIVE

Business

N

First Name

DAVID

Last Name

BANTA

Business Name

DAVID BANTA

Original Issue Date

10/28/2020

Effective Date

06/29/2024

Expiration Date

05/31/2026

State

WI

Ever Disciplined

N

LastModifiedDate

03/01/2026