THERESA ELIZABETH SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136263

License Status

NOT RENEWED

Business

Title

First Name

THERESA

Middle

ELIZABETH

Last Name

SULLIVAN

Business Name

THERESA ELIZABETH SULLIVAN MD

Original Issue Date

08/15/2014

Effective Date

10/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021