MICHELLE L SULLIVAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030941

License Status

EXPIRED

Business

First Name

MICHELLE L

Last Name

SULLIVAN

Business Name

MICHELLE L SULLIVAN

Original Issue Date

05/03/1994

Effective Date

05/03/1994

Expiration Date

05/14/1996

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006