KYLIE J SULLIVAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041373087

License Status

INACTIVE

Business

First Name

KYLIE

Middle

Last Name

SULLIVAN

Business Name

KYLIE J SULLIVAN

Original Issue Date

12/08/2008

Effective Date

05/11/2010

Expiration Date

05/31/2012

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

03/08/2012