Susan Diana Banack
ExpiredCalifornia license 638431
License
- Licensed by
- California Board of Registered Nursing
- License number
- 638431
- Status
- Expired (Delinquent)
- First issued
- June 11, 2004
- Expired
- June 30, 2022
- License holder
- Susan Diana Banack
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
42415 Warner Trl
Palm Desert, CA 92211-8230
Palm Desert, CA 92211-8230
Riverside County