CRISTEN RENEE BANKS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

ACTIVE

Business

First Name

CRISTEN

Middle

RENEE

Last Name

BANKS

Business Name

CRISTEN RENEE BANKS

Original Issue Date

09/24/2021

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

PERU

State

Zip

61354

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/23/2026