BENJAMIN F LANTOW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041401925

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

LANTOW

Business Name

BENJAMIN F LANTOW

Original Issue Date

07/02/2012

Effective Date

07/02/2012

Expiration Date

05/31/2014

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/03/2014