MARY LOU BENNER - Registered Nurse License in Indiana | # 041203424

MARY LOU BENNER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203424

License Status

INACTIVE

Business

N

First Name

MARY LOU

Last Name

BENNER

Business Name

MARY LOU BENNER

Original Issue Date

09/16/1981

Effective Date

09/16/1981

Expiration Date

05/31/1990

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006