WILLA MAE BANISTER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019117

License Status

INACTIVE

Business

First Name

WILLA MAE

Last Name

BANISTER

Business Name

WILLA MAE BANISTER

Original Issue Date

06/06/1967

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005