PHYLLIS IRENE BANASZAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153827

License Status

INACTIVE

Business

First Name

PHYLLIS IRENE

Last Name

BANASZAK

Business Name

PHYLLIS IRENE BANASZAK

Original Issue Date

02/22/1974

Effective Date

05/12/2016

Expiration Date

05/31/2018

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2018