MARY T O'SULLIVAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

O'SULLIVAN

Business Name

MARY T O'SULLIVAN

Original Issue Date

04/05/2022

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2026