KENDRA L SULLIVAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

NOT RENEWED

Business

First Name

KENDRA

Middle

Last Name

SULLIVAN

Business Name

KENDRA L SULLIVAN

Original Issue Date

12/29/2017

Effective Date

12/29/2017

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62704

Ever Disciplined

LastModifiedDate

07/19/2018