WAMAITHA SULLIVAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****93

License Status

ACTIVE

Business

First Name

WAMAITHA

Last Name

SULLIVAN

Business Name

WAMAITHA SULLIVAN

Original Issue Date

09/14/2019

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/03/2026