MICAH D SULLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041329402

License Status

NOT RENEWED

Business

First Name

MICAH

Middle

Last Name

SULLIVAN

Business Name

MICAH D SULLIVAN

Original Issue Date

04/10/2002

Effective Date

04/10/2002

Expiration Date

05/31/2008

City

KEVIL

State

Zip

42053

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/11/2008