MAURA SULLIVAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033182

License Status

EXPIRED

Business

First Name

MAURA

Last Name

SULLIVAN

Business Name

MAURA SULLIVAN

Original Issue Date

06/08/1995

Effective Date

06/08/1995

Expiration Date

06/20/1998

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006