JESSICA M SULLIVAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

INACTIVE

Business

First Name

JESSICA

Middle

Last Name

SULLIVAN

Business Name

JESSICA M SULLIVAN

Original Issue Date

08/16/2010

Effective Date

05/12/2020

Expiration Date

05/31/2022

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/12/2020