KENNETH WAYNE BENHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046880

License Status

INACTIVE

Business

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

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

11/07/2014