BENJAMIN ROBERT DECKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041485378

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

ROBERT

Last Name

DECKER

Business Name

BENJAMIN ROBERT DECKER

Original Issue Date

09/09/2019

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

ROARING SPRING

State

Zip

16673

Ever Disciplined

LastModifiedDate

10/14/2022