STEPHANIE ANN SULLIVAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015654

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

ANN

Last Name

SULLIVAN

Business Name

STEPHANIE ANN SULLIVAN

Original Issue Date

02/22/2017

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

03/06/2026