PETER G BIVANS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

BIVANS

Business Name

PETER G BIVANS

Original Issue Date

12/07/2017

Effective Date

06/23/2022

Expiration Date

06/30/2024

City

LAS VEGAS

State

Zip

89134

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025