JO ANN BENN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

NOT RENEWED

Business

First Name

Middle

ANN

Last Name

BENN

Business Name

JO ANN BENN

Original Issue Date

07/14/2011

Effective Date

04/20/2012

Expiration Date

05/31/2014

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

07/03/2014