JO-EARL BANASIHAN PANGGAT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041509113

License Status

NOT RENEWED

Business

First Name

JO-EARL

Middle

BANASIHAN

Last Name

PANGGAT

Business Name

JO-EARL BANASIHAN PANGGAT

Original Issue Date

05/13/2021

Effective Date

06/17/2022

Expiration Date

06/30/2024

City

BELLEVILLE

State

Zip

62221

Ever Disciplined

LastModifiedDate

02/05/2025