DALE K BENTON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

INACTIVE

Business

First Name

DALE K

Last Name

BENTON

Business Name

DALE K BENTON

Original Issue Date

08/03/2009

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2023