TIPAPORN SULLIVAN - Registered Nurse License in Virginia | # 041248692

TIPAPORN SULLIVAN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248692

License Status

INACTIVE

Business

N

First Name

TIPAPORN

Last Name

SULLIVAN

Business Name

TIPAPORN SULLIVAN

Original Issue Date

12/22/1989

Effective Date

12/22/1989

Expiration Date

05/31/2000

City

BURKE

State

VA

Zip

22015

County

VIRGINIA

Ever Disciplined

N

LastModifiedDate

09/27/2006