EVELYNNA M BANZALI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154170

License Status

NOT RENEWED

Business

First Name

EVELYNNA M

Last Name

BANZALI

Business Name

EVELYNNA M BANZALI

Original Issue Date

04/24/1974

Effective Date

04/24/1974

Expiration Date

05/31/2004

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/09/2006