THERESE J OSULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041221736

License Status

NOT RENEWED

Business

First Name

THERESE J

Last Name

OSULLIVAN

Business Name

THERESE J OSULLIVAN

Original Issue Date

03/06/1984

Effective Date

03/06/1984

Expiration Date

05/31/1988

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006