MARY L SULLIVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020379

License Status

EXPIRED

Business

First Name

MARY L

Last Name

SULLIVAN

Suffix

Business Name

MARY L SULLIVAN MD

Original Issue Date

11/03/1986

Effective Date

11/03/1986

Expiration Date

06/22/1989

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006