CLEMENCE MARIE SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131793

License Status

NOT RENEWED

Business

Title

First Name

CLEMENCE

Middle

MARIE

Last Name

SULLIVAN

Business Name

CLEMENCE MARIE SULLIVAN MD

Original Issue Date

11/29/2012

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017