MARTHA J SULLIVAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

NOT RENEWED

Business

First Name

MARTHA J

Last Name

SULLIVAN

Business Name

MARTHA J SULLIVAN

Original Issue Date

12/07/2005

Effective Date

06/29/2022

Expiration Date

06/30/2024

City

NORTHBROOK

State

Zip

60062

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025