MARTHA A SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041272514

License Status

NOT RENEWED

Business

First Name

MARTHA A

Last Name

SULLIVAN

Business Name

MARTHA A SULLIVAN

Original Issue Date

12/16/1992

Effective Date

12/16/1992

Expiration Date

05/31/2006

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006