KELLIE A BENAVIDES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086672

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

Last Name

BENAVIDES

Business Name

KELLIE A BENAVIDES

Original Issue Date

10/24/2001

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005