COREY PATRICK SULLIVAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012309

License Status

ACTIVE

Business

First Name

COREY

Middle

PATRICK

Last Name

SULLIVAN

Business Name

COREY PATRICK SULLIVAN

Original Issue Date

12/15/2014

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

03/02/2026