WAMAITHA SULLIVAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

INACTIVE

Business

First Name

WAMAITHA

Last Name

SULLIVAN

Business Name

WAMAITHA SULLIVAN

Original Issue Date

03/14/2019

Effective Date

03/14/2019

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/05/2019