BENJAMIN R WISENBAKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041356602

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

WISENBAKER

Business Name

BENJAMIN R WISENBAKER

Original Issue Date

10/16/2006

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

MONROE

State

Zip

71201

County

LOUISIANA

Ever Disciplined

LastModifiedDate

08/16/2010