Keriann Nicole Sullivan
ExpiredCalifornia license 636473
License
- Licensed by
- California Board of Registered Nursing
- License number
- 636473
- Status
- Expired (Delinquent)
- First issued
- April 22, 2004
- Expired
- September 30, 2005
- License holder
- Keriann Nicole Sullivan
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5208 Valdez Dr
Des Moines, IA 50310
Des Moines, IA 50310
Polk County