CHARLES EDWARD SIVERT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049040

License Status

INACTIVE

Business

First Name

CHARLES EDWARD

Last Name

SIVERT

Business Name

CHARLES EDWARD SIVERT

Original Issue Date

01/07/1980

Expiration Date

05/01/1982

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005