JONAS M SULLIVAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110455

License Status

NOT RENEWED

Business

First Name

JONAS

Middle

Last Name

SULLIVAN

Business Name

JONAS M SULLIVAN

Original Issue Date

11/17/2003

Effective Date

05/03/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014