Indiana
State Board of Nursing
Phillip Banta
Home Health Aide
License number
HHA1200355
Date granted
12/09/2011
Date expires
12/09/2013
Class
Home Health Aide
Status
Expired
Address
Martinsville IN 46151
nursingindiana.org
ID 6359782
LAST UPDATED 2024-03-17 10:00:48 UTC
LAST UPDATED 2024-03-17 10:00:48 UTC
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