VICKI M SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038980

License Status

NOT RENEWED

Business

First Name

VICKI M

Last Name

SULLIVAN

Business Name

VICKI M SULLIVAN

Original Issue Date

01/06/1976

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

BETHANY

State

Zip

61914

County

MOULTRIE

Ever Disciplined

LastModifiedDate

03/31/2023