LISA M SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107599

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

Last Name

SULLIVAN

Business Name

LISA M SULLIVAN MD

Original Issue Date

08/02/2002

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

ODESSA

State

Zip

33556

Ever Disciplined

LastModifiedDate

05/30/2023