REBECCA G SULLIVAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

INACTIVE

Business

First Name

REBECCA

Middle

Last Name

SULLIVAN

Business Name

REBECCA G SULLIVAN

Original Issue Date

04/30/2021

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2025