MARY K SULLIVAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038934

License Status

INACTIVE

Business

First Name

MARY K

Last Name

SULLIVAN

Business Name

MARY K SULLIVAN

Original Issue Date

01/06/1976

Expiration Date

01/31/1993

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005