PATRICIA A SULLIVAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

INACTIVE

Business

First Name

PATRICIA

Middle

Last Name

SULLIVAN

Business Name

PATRICIA A SULLIVAN

Original Issue Date

09/22/2004

Effective Date

06/01/2022

Expiration Date

05/31/2024

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2022