SHERI L BANOVIC Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

NOT RENEWED

Business

First Name

SHERI

Middle

Last Name

BANOVIC

Business Name

SHERI L BANOVIC

Original Issue Date

05/17/2001

Effective Date

05/24/2018

Expiration Date

09/30/2020

City

GODFREY

State

Zip

62035

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021