TIMOTHY BITTORF SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040696

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

BITTORF

Last Name

SULLIVAN

Suffix

Business Name

TIMOTHY BITTORF SULLIVAN MD

Original Issue Date

09/01/1966

Effective Date

04/08/2014

Expiration Date

07/31/2017

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

11/01/2017