MARTHA F BIVINS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011748

License Status

INACTIVE

Business

First Name

MARTHA F

Last Name

BIVINS

Business Name

MARTHA F BIVINS

Original Issue Date

11/25/1963

Effective Date

10/27/2000

Expiration Date

01/31/2001

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/15/2005