ICYLINE BENJAMIN EDWARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041182058

License Status

INACTIVE

Business

First Name

ICYLINE BENJAMIN

Last Name

EDWARD

Business Name

ICYLINE BENJAMIN EDWARD

Original Issue Date

10/16/1978

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2010