License Directory

Charla Ann Banta

Expired

California license 642019

License

Licensed by
California Board of Registered Nursing
License number
642019
Status
Expired (Delinquent)
First issued
August 2, 2004
Expired
March 31, 2024
License holder
Charla Ann Banta
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

176 Wimbledon Ct
Gallatin, TN 37066-8561
Sumner County