MARYSUE BENHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041157437

License Status

NOT RENEWED

Business

First Name

MARYSUE

Last Name

BENHAM

Business Name

MARYSUE BENHAM

Original Issue Date

09/11/1974

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

WATAGA

State

Zip

61488

County

KNOX

Ever Disciplined

LastModifiedDate

10/14/2022