MICHAEL BRIAN BANIK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041401118

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

BRIAN

Last Name

BANIK

Business Name

MICHAEL BRIAN BANIK

Original Issue Date

05/02/2012

Effective Date

05/06/2019

Expiration Date

09/30/2020

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021