STEPHANIE M BANACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086447

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

BANACH

Business Name

STEPHANIE M BANACH

Original Issue Date

09/06/2001

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

CHANNAHON

State

Zip

60410

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/21/2005