ERVY BLAISE BANEZ Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041589452

License Status

ACTIVE

Business

First Name

ERVY

Middle

BLAISE

Last Name

BANEZ

Business Name

ERVY BLAISE BANEZ

Original Issue Date

07/02/2025

Effective Date

07/02/2025

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/01/2026