DONALD R VANDIVER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041272303

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

VANDIVER

Business Name

DONALD R VANDIVER

Original Issue Date

11/18/1992

Effective Date

05/16/2016

Expiration Date

05/31/2018

City

BUSHNELL

State

Zip

61422

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/19/2018

Case Number

2005003789

Action

Reprimand

Discipline Start Date

11/10/2005

Discipline Reason

UNPROFESSIONAL CONDUCT.