PATRICIA ELLEN SULLIVAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

NOT RENEWED

Business

First Name

PATRICIA ELLEN

Last Name

SULLIVAN

Business Name

PATRICIA ELLEN SULLIVAN

Original Issue Date

02/23/2011

Effective Date

02/23/2011

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60640

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2012