EUGENE ANDREW SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036020830

License Status

NOT RENEWED

Business

First Name

EUGENE ANDREW

Last Name

SULLIVAN

Suffix

Business Name

EUGENE ANDREW SULLIVAN MD

Original Issue Date

08/09/1935

Effective Date

08/09/1935

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006