BRIAN C SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094772

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

SULLIVAN

Suffix

Business Name

BRIAN C SULLIVAN MD

Original Issue Date

02/05/1997

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

06/22/2023