BEVERLY J BENNETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088495

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

Last Name

BENNETT

Business Name

BEVERLY J BENNETT

Original Issue Date

05/15/2003

Effective Date

01/28/2013

Expiration Date

01/31/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/09/2015