TRISHA CYNTHIA BANECK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

NOT RENEWED

Business

First Name

TRISHA

Middle

CYNTHIA

Last Name

BANECK

Business Name

TRISHA CYNTHIA BANECK

Original Issue Date

05/19/2010

Effective Date

05/19/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012