STEPHEN E SULLIVAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029043

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

Last Name

SULLIVAN

Business Name

STEPHEN E SULLIVAN

Original Issue Date

07/16/1992

Effective Date

07/16/1992

Expiration Date

08/04/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006