KRISTEN EILEEN SULLIVAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

EILEEN

Last Name

SULLIVAN

Business Name

KRISTEN EILEEN SULLIVAN

Original Issue Date

02/22/2022

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026