MILDRED L SULLIVAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011558

License Status

INACTIVE

Business

First Name

MILDRED L

Last Name

SULLIVAN

Business Name

MILDRED L SULLIVAN

Original Issue Date

07/26/1963

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005