CYNTHIA L BANTISTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084111

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

Last Name

BANTISTA

Business Name

CYNTHIA L BANTISTA

Original Issue Date

10/06/1999

Effective Date

11/04/2004

Expiration Date

01/31/2007

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/16/2007