ALTA BENNETT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043001689

License Status

INACTIVE

Business

First Name

ALTA

Last Name

BENNETT

Business Name

ALTA BENNETT

Original Issue Date

09/08/1952

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005