MICHELLE B SULLIVAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

SULLIVAN

Business Name

MICHELLE B SULLIVAN

Original Issue Date

07/06/2020

Effective Date

07/06/2020

Expiration Date

05/31/2022

City

ROCHESTER

State

Zip

03867

Ever Disciplined

LastModifiedDate

07/06/2020