JOHN THOMPSON SULLEBARGER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000067

License Status

EXPIRED

Business

First Name

JOHN

Middle

THOMPSON

Last Name

SULLEBARGER

Suffix

Business Name

JOHN THOMPSON SULLEBARGER MD

Original Issue Date

08/14/1998

Effective Date

08/14/1998

Expiration Date

12/14/1998

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/23/2006