MICHELLE L SULLIVAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091873

License Status

ACTIVE

Business

First Name

MICHELLE L

Last Name

SULLIVAN

Business Name

MICHELLE L SULLIVAN

Original Issue Date

09/20/1995

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

12/09/2024