ANDRE JAWANN SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175093

License Status

ACTIVE

Business

First Name

ANDRE

Middle

JAWANN

Last Name

SULLIVAN

Suffix

Business Name

ANDRE JAWANN SULLIVAN MD

Original Issue Date

05/23/2025

Effective Date

05/23/2025

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/09/2026