SHAYLEE J SULLIVAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

ACTIVE

Business

First Name

SHAYLEE

Middle

Last Name

SULLIVAN

Business Name

SHAYLEE J SULLIVAN

Original Issue Date

02/09/2017

Effective Date

04/24/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026