The holder whose full name is BANTA, MARY JANE,come from Unknown NA,hold the Registered Nurse license(NO.28025083A) which status is Expired.
| Name | BANTA, MARY JANE |
|---|---|
| License Number | 28025083A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Unknown |
| State | NA |