MELANIE L BANAL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

INACTIVE

Business

First Name

MELANIE

Middle

Last Name

BANAL

Business Name

MELANIE L BANAL

Original Issue Date

10/21/2014

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

03/16/2020