JENNIFER M SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104690

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

SULLIVAN

Business Name

JENNIFER M SULLIVAN

Original Issue Date

10/26/2007

Effective Date

11/24/2008

Expiration Date

01/31/2011

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

03/10/2011