PATTY J LOGUE SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049331

License Status

NOT RENEWED

Business

First Name

PATTY J LOGUE

Last Name

SULLIVAN

Business Name

PATTY J LOGUE SULLIVAN

Original Issue Date

05/05/1980

Effective Date

12/22/2010

Expiration Date

01/31/2013

City

ALMA

State

Zip

62807

County

MARION

Ever Disciplined

LastModifiedDate

03/20/2013