KATHRYN R BANTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041080773

License Status

NOT RENEWED

Business

First Name

KATHRYN R

Last Name

BANTA

Business Name

KATHRYN R BANTA

Original Issue Date

04/01/1955

Effective Date

05/17/2010

Expiration Date

05/31/2012

City

RIDGEFARM

State

Zip

61870

County

VERMILION

Ever Disciplined

LastModifiedDate

07/10/2012