MARTHA J SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010320

License Status

NOT RENEWED

Business

First Name

MARTHA J

Last Name

SULLIVAN

Business Name

MARTHA J SULLIVAN

Original Issue Date

04/02/1962

Expiration Date

01/31/1987

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

10/21/2005