MARY C BANASZAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041238488

License Status

NOT RENEWED

Business

First Name

MARY C

Last Name

BANASZAK

Business Name

MARY C BANASZAK

Original Issue Date

09/22/1986

Effective Date

04/28/2016

Expiration Date

05/31/2018

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018