ANTHONY B BIVENS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041237425

License Status

NOT RENEWED

Business

First Name

ANTHONY B

Last Name

BIVENS

Business Name

ANTHONY B BIVENS

Original Issue Date

09/15/1986

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021