JUDITH MARIE BANNING Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

MARIE

Last Name

BANNING

Business Name

JUDITH MARIE BANNING

Original Issue Date

04/20/2011

Effective Date

05/25/2016

Expiration Date

05/31/2018

City

TAYLORVILLE

State

Zip

62568

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018