MARILYN MYSHELL BENBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071214

License Status

NOT RENEWED

Business

First Name

MARILYN

Middle

MYSHELL

Last Name

BENBERG

Business Name

MARILYN MYSHELL BENBERG

Original Issue Date

01/16/1992

Effective Date

03/05/2015

Expiration Date

01/31/2017

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/27/2017