PATRICK JOSEPH SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039839

License Status

NOT RENEWED

Business

Title

First Name

PATRICK

Middle

JOSEPH

Last Name

SULLIVAN

Business Name

PATRICK JOSEPH SULLIVAN MD

Original Issue Date

07/01/1965

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

06/30/2018