BENILDA I LONTOK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117728

License Status

INACTIVE

Business

First Name

BENILDA I

Last Name

LONTOK

Business Name

BENILDA I LONTOK

Original Issue Date

07/20/1966

Effective Date

07/20/1966

Expiration Date

05/31/1988

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006