MARIA MICHELLE SULLIVAN - Physician Assistant License in Missouri | # 085008077

MARIA MICHELLE SULLIVAN

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008077

License Status

ACTIVE

Business

N

First Name

MARIA

Middle

MICHELLE

Last Name

SULLIVAN

Business Name

MARIA MICHELLE SULLIVAN

Original Issue Date

11/09/2020

Effective Date

02/14/2024

Expiration Date

03/01/2026

State

MO

Ever Disciplined

N

LastModifiedDate

12/03/2025