PONNAMMA BENJAMIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148057

License Status

NOT RENEWED

Business

First Name

PONNAMMA

Last Name

BENJAMIN

Business Name

PONNAMMA BENJAMIN

Original Issue Date

04/16/1973

Effective Date

04/16/1973

Expiration Date

05/31/2000

City

MESA

State

Zip

85208

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/27/2006