SHAWNA LYNN SULLIVAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

NOT RENEWED

Business

First Name

SHAWNA

Middle

LYNN

Last Name

SULLIVAN

Business Name

SHAWNA LYNN SULLIVAN

Original Issue Date

11/20/2007

Effective Date

04/26/2012

Expiration Date

05/31/2014

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2014