DAVID M SULLIVAN MD - Medical Doctor License in Indiana | # 036080964

DAVID M SULLIVAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080964

License Status

NOT RENEWED

Business

N

First Name

DAVID M

Last Name

SULLIVAN

Suffix

MD

Business Name

DAVID M SULLIVAN MD

Original Issue Date

07/13/1990

Effective Date

07/13/1990

Expiration Date

07/31/2002

State

IN

Ever Disciplined

N

LastModifiedDate

06/19/2012