BENJAMIN JOSEPH CRUZ FONTANILLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041511596

License Status

NOT RENEWED

Business

First Name

BENJAMIN JOSEPH

Middle

CRUZ

Last Name

FONTANILLA

Business Name

BENJAMIN JOSEPH CRUZ FONTANILLA

Original Issue Date

07/13/2021

Effective Date

07/13/2021

Expiration Date

08/31/2022

City

SAN ANTONIO

State

Zip

78251

Ever Disciplined

LastModifiedDate

10/14/2022