BERNARD BENJAMIN LEASE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023941

License Status

ACTIVE

Business

First Name

BERNARD

Middle

BENJAMIN

Last Name

LEASE

Business Name

BERNARD BENJAMIN LEASE

Original Issue Date

08/31/2021

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

FORT POLK

State

Zip

71459

Ever Disciplined

LastModifiedDate

03/02/2026