RITA L SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063759

License Status

NOT RENEWED

Business

First Name

RITA L

Last Name

SULLIVAN

Suffix

Business Name

RITA L SULLIVAN MD

Original Issue Date

01/14/1982

Effective Date

01/14/1982

Expiration Date

07/31/2002

City

CAPRON

State

Zip

61012

County

BOONE

Ever Disciplined

LastModifiedDate

10/09/2006