PONNAMMA BENJAMIN - Registered Nurse License in Arizona | # 041148057

PONNAMMA BENJAMIN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148057

License Status

NOT RENEWED

Business

N

First Name

PONNAMMA

Last Name

BENJAMIN

Business Name

PONNAMMA BENJAMIN

Original Issue Date

04/16/1973

Effective Date

04/16/1973

Expiration Date

05/31/2000

State

AZ

Ever Disciplined

N

LastModifiedDate

09/27/2006