TIMOTHY F SULLIVAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001026

License Status

NOT RENEWED

Business

First Name

TIMOTHY F

Last Name

SULLIVAN

Business Name

TIMOTHY F SULLIVAN

Original Issue Date

06/15/2001

Effective Date

04/04/2014

Expiration Date

05/31/2016

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/11/2016