CINTHIA A BENNETT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

NOT RENEWED

Business

First Name

CINTHIA

Middle

Last Name

BENNETT

Business Name

CINTHIA A BENNETT

Original Issue Date

04/22/2014

Effective Date

06/17/2022

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025