CAROLYN A SULLIVAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

SULLIVAN

Business Name

CAROLYN A SULLIVAN

Original Issue Date

12/19/2011

Effective Date

03/25/2014

Expiration Date

05/31/2016

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/11/2016