ANNE L SULLIVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000242

License Status

EXPIRED

Business

First Name

ANNE

Middle

Last Name

SULLIVAN

Suffix

Business Name

ANNE L SULLIVAN MD

Original Issue Date

06/28/2005

Effective Date

06/28/2005

Expiration Date

02/28/2006

City

CORALVILLE

State

Zip

52241

County

IOWA

Ever Disciplined

LastModifiedDate

09/23/2006