MARY SUSAN SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043069940

License Status

NOT RENEWED

Business

First Name

MARY SUSAN

Last Name

SULLIVAN

Business Name

MARY SUSAN SULLIVAN

Original Issue Date

03/19/1991

Effective Date

01/11/2021

Expiration Date

01/31/2023

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

03/31/2023