ROSE A SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041214413

License Status

NOT RENEWED

Business

First Name

ROSE A

Last Name

SULLIVAN

Business Name

ROSE A SULLIVAN

Original Issue Date

11/04/1982

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021