KELLY M BANASKY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013410

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BANASKY

Business Name

KELLY M BANASKY

Original Issue Date

10/08/2015

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

DEARBORN HEIGHTS

State

Zip

48127

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/19/2018