CHARLENE K SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062018

License Status

NOT RENEWED

Business

First Name

CHARLENE K

Last Name

SULLIVAN

Business Name

CHARLENE K SULLIVAN

Original Issue Date

01/10/1986

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/17/2009