DAVID M SULLIVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023069

License Status

EXPIRED

Business

First Name

DAVID M

Last Name

SULLIVAN

Suffix

Business Name

DAVID M SULLIVAN MD

Original Issue Date

07/21/1988

Effective Date

07/21/1988

Expiration Date

07/01/1991

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006