LILA R SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043069581

License Status

NOT RENEWED

Business

First Name

LILA R

Last Name

SULLIVAN

Business Name

LILA R SULLIVAN

Original Issue Date

01/11/1991

Effective Date

01/02/2019

Expiration Date

01/31/2021

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

03/11/2021