NANCY J BENJAMIN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002689

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

Last Name

BENJAMIN

Business Name

NANCY J BENJAMIN

Original Issue Date

06/16/1998

Effective Date

10/04/2019

Expiration Date

02/28/2022

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022