EDDIE L SULLIVAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003486

License Status

NOT RENEWED

Business

First Name

EDDIE L

Last Name

SULLIVAN

Business Name

EDDIE L SULLIVAN

Original Issue Date

08/03/2001

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

07/11/2008