NICHOLAS K SULLIVAN DO - Medical Doctor License in Iowa | # 036141174

NICHOLAS K SULLIVAN DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141174

License Status

NOT RENEWED

Business

N

Title

DO

First Name

NICHOLAS

Middle

K

Last Name

SULLIVAN

Business Name

NICHOLAS K SULLIVAN DO

Original Issue Date

07/08/2016

Effective Date

07/08/2016

Expiration Date

07/31/2017

State

IA

Ever Disciplined

N

LastModifiedDate

11/01/2017