NICHOLAS K SULLIVAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141174

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

Last Name

SULLIVAN

Business Name

NICHOLAS K SULLIVAN DO

Original Issue Date

07/08/2016

Effective Date

07/08/2016

Expiration Date

07/31/2017

City

DUBUQUE

State

Zip

52003

County

IOWA

Ever Disciplined

LastModifiedDate

11/01/2017