G MARK SHIVES Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041256886

License Status

ACTIVE

Business

First Name

G MARK

Last Name

SHIVES

Business Name

G MARK SHIVES

Original Issue Date

04/06/1990

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

03/03/2026