CHARLES EDWARD SIVERT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199937

License Status

NOT RENEWED

Business

First Name

CHARLES EDWARD

Last Name

SIVERT

Business Name

CHARLES EDWARD SIVERT

Original Issue Date

11/17/1980

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2022