DONALD CHARLES BIVENS JR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087446

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

CHARLES

Last Name

BIVENS

Suffix

Business Name

DONALD CHARLES BIVENS JR

Original Issue Date

06/21/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/15/2005