TERENCE P SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081148

License Status

ACTIVE

Business

First Name

TERENCE P

Last Name

SULLIVAN

Suffix

Business Name

TERENCE P SULLIVAN MD

Original Issue Date

07/26/1990

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2023