MELANIE L BANAL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011871

License Status

INACTIVE

Business

First Name

MELANIE

Middle

Last Name

BANAL

Business Name

MELANIE L BANAL

Original Issue Date

09/17/2014

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

SAINT JACOB

State

Zip

62281

County

MADISON

Ever Disciplined

LastModifiedDate

03/08/2020