ALTA BENNETT - Registered Nurse License in Illinois | # 043001689

ALTA BENNETT

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043001689

License Status

INACTIVE

Business

N

First Name

ALTA

Last Name

BENNETT

Business Name

ALTA BENNETT

Original Issue Date

09/08/1952

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005