JONAS M SULLIVAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042757

License Status

EXPIRED

Business

First Name

JONAS

Middle

Last Name

SULLIVAN

Business Name

JONAS M SULLIVAN

Original Issue Date

06/29/2001

Effective Date

06/29/2001

Expiration Date

06/30/2004

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006