TIMOTHY JAMES GAVIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043125768

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

JAMES

Last Name

GAVIN

Business Name

TIMOTHY JAMES GAVIN

Original Issue Date

08/07/2018

Effective Date

12/17/2018

Expiration Date

01/31/2021

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/11/2021