MARSHA ELAINE BANTA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041353251

License Status

INACTIVE

Business

First Name

MARSHA

Middle

ELAINE

Last Name

BANTA

Business Name

MARSHA ELAINE BANTA

Original Issue Date

07/07/2006

Effective Date

04/28/2010

Expiration Date

05/31/2012

City

FORT WAYNE

State

Zip

46814

County

INDIANA

Ever Disciplined

LastModifiedDate

03/08/2012