EDGAR E BANTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104029

License Status

NOT RENEWED

Business

First Name

EDGAR E

Last Name

BANTZ

Business Name

EDGAR E BANTZ

Original Issue Date

11/09/1962

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

08/16/2010