GLADYS A SULLIVAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002604

License Status

NOT RENEWED

Business

First Name

GLADYS

Middle

Last Name

SULLIVAN

Business Name

GLADYS A SULLIVAN

Original Issue Date

03/16/1999

Effective Date

01/05/2001

Expiration Date

03/16/2000

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/31/2005