SCOTT JAMES SULLIVAN MD - Medical Doctor License in Minnesota | # 036146405

SCOTT JAMES SULLIVAN MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146405

License Status

ACTIVE

Business

N

Title

MD

First Name

SCOTT

Middle

JAMES

Last Name

SULLIVAN

Business Name

SCOTT JAMES SULLIVAN MD

Original Issue Date

06/12/2018

Effective Date

06/13/2023

Expiration Date

07/31/2026

State

MN

Ever Disciplined

N

LastModifiedDate

06/13/2023