Division of Occupational and Professional Licensing
Board of Nursing
DESTINE DEE BANTA
Nurse - Registered Nurse
License number
5702142-3102
Date granted
11/01/2004
Date expires
03/15/2005
Class
Nurse - Registered Nurse
Status
Surrendered
Address
FARR WEST, UT 84404
nursingutah.org
ID 29828110
LAST UPDATED 2024-03-21 21:16:04 UTC
LAST UPDATED 2024-03-21 21:16:04 UTC
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