BENNETT S DAVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075704

License Status

NOT RENEWED

Business

First Name

BENNETT S

Last Name

DAVIS

Business Name

BENNETT S DAVIS

Original Issue Date

06/15/1994

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

OAKWOOD

State

Zip

61858

County

VERMILION

Ever Disciplined

LastModifiedDate

10/15/2005