DIANE A SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041224627

License Status

NOT RENEWED

Business

First Name

DIANE A

Last Name

SULLIVAN

Business Name

DIANE A SULLIVAN

Original Issue Date

10/02/1984

Effective Date

05/31/2012

Expiration Date

05/31/2014

City

ZEPHYRHILLS

State

Zip

33541

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/03/2014