PENNY L BOLLIVAR Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199356

License Status

ACTIVE

Business

First Name

PENNY L

Last Name

BOLLIVAR

Business Name

PENNY L BOLLIVAR

Original Issue Date

11/17/1980

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

WATAGA

State

Zip

61488

County

KNOX

Ever Disciplined

LastModifiedDate

02/28/2026