SYDNEY J SULLIVAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

ACTIVE

Business

First Name

SYDNEY

Middle

Last Name

SULLIVAN

Business Name

SYDNEY J SULLIVAN

Original Issue Date

01/15/2020

Effective Date

03/15/2026

Expiration Date

05/31/2028

City

PETERSBURG

State

Zip

62675

County

MENARD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2026