KIVA S MIXON Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041554265

License Status

ACTIVE

Business

First Name

KIVA

Middle

Last Name

MIXON

Business Name

KIVA S MIXON

Original Issue Date

10/23/2023

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

03/01/2026