MARTHA F BIVINS - Registered Nurse License in Illinois | # 043011748

MARTHA F BIVINS

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011748

License Status

INACTIVE

Business

N

First Name

MARTHA F

Last Name

BIVINS

Business Name

MARTHA F BIVINS

Original Issue Date

11/25/1963

Effective Date

10/27/2000

Expiration Date

01/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005