MELISSA BOUCHER SULLIVAN - Registered Nurse License in Illinois | # 041328169

MELISSA BOUCHER SULLIVAN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041328169

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

BOUCHER

Last Name

SULLIVAN

Business Name

MELISSA BOUCHER SULLIVAN

Original Issue Date

12/27/2001

Effective Date

12/27/2001

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2010