MARY K SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041263578

License Status

NOT RENEWED

Business

First Name

MARY K

Last Name

SULLIVAN

Business Name

MARY K SULLIVAN

Original Issue Date

09/24/1991

Effective Date

05/11/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/10/2012