The holder whose full name is BANTA, BRIDGETTE RAE,come from PORT ROYAL KY,hold the Registered Nurse license(NO.28130239A) which status is Expired.
| Name | BANTA, BRIDGETTE RAE |
|---|---|
| License Number | 28130239A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | PORT ROYAL |
| State | KY |