MICHELLE BENNETT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022307

License Status

INACTIVE

Business

First Name

MICHELLE

Last Name

BENNETT

Business Name

MICHELLE BENNETT

Original Issue Date

10/26/2020

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/02/2024