MORGAN R BANTA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041401785

License Status

ACTIVE

Business

First Name

MORGAN

Middle

Last Name

BANTA

Business Name

MORGAN R BANTA

Original Issue Date

06/25/2012

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/28/2026