MARY M SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043023112

License Status

NOT RENEWED

Business

First Name

MARY M

Last Name

SULLIVAN

Business Name

MARY M SULLIVAN

Original Issue Date

04/01/1968

Expiration Date

01/31/1987

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005