WAMAITHA SULLIVAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

WAMAITHA

Last Name

SULLIVAN

Business Name

WAMAITHA SULLIVAN

Original Issue Date

05/17/2013

Effective Date

05/17/2013

Expiration Date

05/31/2014

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/03/2014