PAUL VINCENT SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043104

License Status

NOT RENEWED

Business

First Name

PAUL VINCENT

Last Name

SULLIVAN

Suffix

Business Name

PAUL VINCENT SULLIVAN MD

Original Issue Date

01/06/1970

Effective Date

01/06/1970

City

ATLANTIC BEACH

State

Zip

32233

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006