STEPHEN W MACKIVITCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041536252

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

MACKIVITCH

Business Name

STEPHEN W MACKIVITCH

Original Issue Date

12/13/2022

Effective Date

12/13/2022

Expiration Date

06/30/2024

City

UNION

State

Zip

63084

Ever Disciplined

LastModifiedDate

04/24/2025