GERALD B SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071880

License Status

NOT RENEWED

Business

First Name

GERALD B

Last Name

SULLIVAN

Suffix

Business Name

GERALD B SULLIVAN MD

Original Issue Date

10/24/1985

Effective Date

10/24/1985

Expiration Date

07/31/1987

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006