JOHN A KRIVIS JR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005111

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

KRIVIS

Suffix

Business Name

JOHN A KRIVIS JR

Original Issue Date

05/19/2004

Effective Date

03/21/2014

Expiration Date

05/31/2016

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2016