DANIEL JOSEPH SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

DANIEL JOSEPH

Last Name

SULLIVAN

Suffix

Business Name

DANIEL JOSEPH SULLIVAN MD

Original Issue Date

12/04/1981

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

SAN DIEGO

State

Zip

92127

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023