PATRICK DONALD SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040507

License Status

NOT RENEWED

Business

First Name

PATRICK DONALD

Last Name

SULLIVAN

Suffix

Business Name

PATRICK DONALD SULLIVAN MD

Original Issue Date

07/05/1966

Effective Date

07/05/1966

City

WINTER HAVEN

State

Zip

33880

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006