LONI J BANKS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

LONI

Middle

Last Name

BANKS

Business Name

LONI J BANKS

Original Issue Date

05/12/2016

Effective Date

04/03/2018

Expiration Date

09/30/2020

City

GALATIA

State

Zip

62935

County

SALINE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021