HAZEL SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043000969

License Status

NOT RENEWED

Business

First Name

HAZEL

Last Name

SULLIVAN

Business Name

HAZEL SULLIVAN

Original Issue Date

06/11/1952

Expiration Date

01/31/1987

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005