POLLY A BENNETT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041316741

License Status

INACTIVE

Business

First Name

POLLY

Middle

Last Name

BENNETT

Business Name

POLLY A BENNETT

Original Issue Date

09/28/1999

Effective Date

09/28/1999

Expiration Date

05/31/2002

City

CORINTH

State

Zip

76210

Ever Disciplined

LastModifiedDate

10/09/2006