WAMAITHA SULLIVAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007740

License Status

INACTIVE

Business

First Name

WAMAITHA

Last Name

SULLIVAN

Business Name

WAMAITHA SULLIVAN

Original Issue Date

08/20/2009

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2019