CASEY M BANUELOS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041445326

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

Last Name

BANUELOS

Business Name

CASEY M BANUELOS

Original Issue Date

08/18/2016

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021