TIMOTHY F SULLIVAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041171288

License Status

INACTIVE

Business

First Name

TIMOTHY F

Last Name

SULLIVAN

Business Name

TIMOTHY F SULLIVAN

Original Issue Date

11/01/1976

Effective Date

04/04/2014

Expiration Date

05/31/2016

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

03/16/2016