MICKEY L IVEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022809

License Status

NOT RENEWED

Business

First Name

MICKEY L

Last Name

IVEY

Business Name

MICKEY L IVEY

Original Issue Date

02/14/1968

Expiration Date

01/31/1991

City

SPRINGFIELD

State

Zip

62791

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005