LAINE E SULLIVAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103463

License Status

INACTIVE

Business

First Name

LAINE E

Last Name

SULLIVAN

Business Name

LAINE E SULLIVAN

Original Issue Date

08/28/1962

Effective Date

08/28/1962

Expiration Date

05/31/1996

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006