ROBERT E PIVONKA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004727

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

PIVONKA

Business Name

ROBERT E PIVONKA

Original Issue Date

06/18/2003

Effective Date

04/07/2014

Expiration Date

05/31/2016

City

RIO RANCHO

State

Zip

87124

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

07/11/2016