DANIEL J SULLIVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022931

License Status

EXPIRED

Business

First Name

DANIEL J

Last Name

SULLIVAN

Suffix

Business Name

DANIEL J SULLIVAN MD

Original Issue Date

06/29/1988

Effective Date

06/29/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006