Ethan Antone Banich
ExpiredCalifornia license 95390165
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95390165
- Status
- Expired (Delinquent)
- First issued
- August 6, 2024
- Expired
- September 30, 2026
- License holder
- Ethan Antone Banich
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
702 E Crestview Ave Apt A
Flagstaff, AZ 86001-4764
Flagstaff, AZ 86001-4764
Coconino County