WAMAITHA SULLIVAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000092

License Status

ACTIVE

Business

First Name

WAMAITHA

Last Name

SULLIVAN

Business Name

WAMAITHA SULLIVAN

Original Issue Date

09/14/2019

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/03/2026