TERENCE P SULLIVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022434

License Status

EXPIRED

Business

First Name

TERENCE P

Last Name

SULLIVAN

Suffix

Business Name

TERENCE P SULLIVAN MD

Original Issue Date

05/17/1988

Effective Date

05/17/1988

Expiration Date

06/21/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006