JACK J VIVONA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041287040

License Status

NOT RENEWED

Business

First Name

JACK J

Last Name

VIVONA

Business Name

JACK J VIVONA

Original Issue Date

02/23/1995

Effective Date

03/29/2012

Expiration Date

05/31/2014

City

ENDICOTT

State

Zip

13760

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/03/2014