LATASHA A SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041425929

License Status

NOT RENEWED

Business

First Name

LATASHA

Middle

Last Name

SULLIVAN

Business Name

LATASHA A SULLIVAN

Original Issue Date

11/06/2014

Effective Date

06/23/2020

Expiration Date

08/31/2022

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/14/2022