BRONYA K SULLIVAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123716

License Status

NOT RENEWED

Business

First Name

BRONYA

Middle

Last Name

SULLIVAN

Business Name

BRONYA K SULLIVAN

Original Issue Date

06/11/2009

Effective Date

06/11/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011