ETHAN THOMAS SULLIVAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041549208

License Status

ACTIVE

Business

First Name

ETHAN

Middle

THOMAS

Last Name

SULLIVAN

Business Name

ETHAN THOMAS SULLIVAN

Original Issue Date

08/01/2023

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/25/2026