BENJAMIN M SULLIVAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041403653

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

SULLIVAN

Business Name

BENJAMIN M SULLIVAN

Original Issue Date

07/27/2012

Effective Date

04/20/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

02/28/2026