JUDITH A BANTA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159954

License Status

INACTIVE

Business

First Name

JUDITH A

Last Name

BANTA

Business Name

JUDITH A BANTA

Original Issue Date

03/11/1975

Effective Date

03/11/1975

City

SANTA FE

State

Zip

87501

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/27/2006