KIMBERLY A BENHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041290012

License Status

INACTIVE

Business

First Name

KIMBERLY A

Last Name

BENHAM

Business Name

KIMBERLY A BENHAM

Original Issue Date

07/29/1995

Effective Date

05/25/2010

Expiration Date

05/31/2012

City

LAFAYETTE

State

Zip

47909

County

INDIANA

Ever Disciplined

LastModifiedDate

03/08/2012