CAROL L MAIN-BENNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

INACTIVE

Business

First Name

CAROL

Middle

Last Name

MAIN-BENNER

Business Name

CAROL L MAIN-BENNER

Original Issue Date

10/03/2001

Effective Date

06/11/2020

Expiration Date

05/31/2022

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2020