KEVIN LEO SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066244

License Status

ACTIVE

Business

First Name

KEVIN LEO

Last Name

SULLIVAN

Suffix

Business Name

KEVIN LEO SULLIVAN MD

Original Issue Date

03/24/1983

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2023