DONALD N SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129693

License Status

ACTIVE

Business

Title

First Name

DONALD

Middle

Last Name

SULLIVAN

Business Name

DONALD N SULLIVAN MD

Original Issue Date

03/01/2012

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

MT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

06/03/2023