BENJAMIN G GUBATANGA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041380325

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

GUBATANGA

Business Name

BENJAMIN G GUBATANGA

Original Issue Date

10/08/2009

Effective Date

04/15/2016

Expiration Date

05/31/2018

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018