RYAN JAMES SULLIVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043360

License Status

EXPIRED

Business

Title

First Name

RYAN

Middle

JAMES

Last Name

SULLIVAN

Business Name

RYAN JAMES SULLIVAN MD

Original Issue Date

06/18/2001

Effective Date

06/18/2001

Expiration Date

06/17/2006

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006