KIM M SULLIVAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102530

License Status

INACTIVE

Business

First Name

KIM

Middle

Last Name

SULLIVAN

Suffix

Business Name

KIM M SULLIVAN MD

Original Issue Date

05/22/2000

Effective Date

05/22/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006