JENNIFER B BANASTAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041391677

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BANASTAS

Business Name

JENNIFER B BANASTAS

Original Issue Date

03/29/2011

Effective Date

05/24/2012

Expiration Date

05/31/2014

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/03/2014