MICHELLE L BENEDICT 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

MICHELLE

Middle

Last Name

BENEDICT

Business Name

MICHELLE L BENEDICT

Original Issue Date

10/17/2005

Effective Date

05/26/2022

Expiration Date

06/30/2024

City

CISCO

State

Zip

61830

County

PIATT

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024