PHYLLIS S BENHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038237

License Status

NOT RENEWED

Business

First Name

PHYLLIS S

Last Name

BENHAM

Business Name

PHYLLIS S BENHAM

Original Issue Date

11/14/1975

Expiration Date

01/31/1985

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005