ROBERT E PIVONKA - Advanced Practice Nurse License in New Mexico | # 209004727

ROBERT E PIVONKA

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004727

License Status

NOT RENEWED

Business

N

First Name

ROBERT

Middle

E

Last Name

PIVONKA

Business Name

ROBERT E PIVONKA

Original Issue Date

06/18/2003

Effective Date

04/07/2014

Expiration Date

05/31/2016

State

NM

Ever Disciplined

N

LastModifiedDate

07/11/2016