JOSEPH E SULLIVAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102584

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

SULLIVAN

Business Name

JOSEPH E SULLIVAN

Original Issue Date

06/01/2000

Effective Date

06/01/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006