SARA R SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104592

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

SULLIVAN

Suffix

Business Name

SARA R SULLIVAN MD

Original Issue Date

04/26/2001

Effective Date

04/26/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006