JARED BANASZAK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023839

License Status

ACTIVE

Business

First Name

JARED

Last Name

BANASZAK

Business Name

JARED BANASZAK

Original Issue Date

08/19/2021

Effective Date

06/24/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026