KENNETH R SULLIVAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022178

License Status

INACTIVE

Business

First Name

KENNETH R

Last Name

SULLIVAN

Business Name

KENNETH R SULLIVAN

Original Issue Date

12/22/1967

Expiration Date

01/31/1985

City

HARRISBURG

State

Zip

62946

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005