KENNETH WAYNE BENHAM - Registered Nurse License in Illinois | # 043046880

KENNETH WAYNE BENHAM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046880

License Status

INACTIVE

Business

N

First Name

KENNETH WAYNE

Last Name

BENHAM

Business Name

KENNETH WAYNE BENHAM

Original Issue Date

07/13/1979

Effective Date

11/30/2012

Expiration Date

01/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

11/07/2014