TIMOTHY B DIVINE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041398060

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

DIVINE

Business Name

TIMOTHY B DIVINE

Original Issue Date

11/21/2011

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

CORALVILLE

State

Zip

52241

County

IOWA

Ever Disciplined

LastModifiedDate

01/14/2021