KENDRA L SULLIVAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

ACTIVE

Business

First Name

KENDRA

Middle

Last Name

SULLIVAN

Business Name

KENDRA L SULLIVAN

Original Issue Date

03/22/2016

Effective Date

06/25/2024

Expiration Date

05/31/2026

City

PETERSBURG

State

Zip

62675

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026