MICHELLE B SULLIVAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021215

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

SULLIVAN

Business Name

MICHELLE B SULLIVAN

Original Issue Date

04/20/2020

Effective Date

04/20/2020

Expiration Date

05/31/2022

City

ROCHESTER

State

Zip

03867

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

04/20/2020