BENJAMIN JOSEPH CRUZ FONTANILLA - Registered Nurse License in Texas | # 041511596

BENJAMIN JOSEPH CRUZ FONTANILLA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041511596

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN JOSEPH

Middle

CRUZ

Last Name

FONTANILLA

Business Name

BENJAMIN JOSEPH CRUZ FONTANILLA

Original Issue Date

07/13/2021

Effective Date

07/13/2021

Expiration Date

08/31/2022

State

TX

Ever Disciplined

N

LastModifiedDate

10/14/2022