TRISHA CYNTHIA BANECK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008127

License Status

NOT RENEWED

Business

First Name

TRISHA

Middle

CYNTHIA

Last Name

BANECK

Business Name

TRISHA CYNTHIA BANECK

Original Issue Date

04/14/2010

Effective Date

04/14/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012