BEVERLY A CONVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085556

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

Last Name

CONVIS

Business Name

BEVERLY A CONVIS

Original Issue Date

10/30/2000

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

CROPSEY

State

Zip

61731

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005