TIMOTHY WILLIAM SULLIVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055758

License Status

EXPIRED

Business

Title

First Name

TIMOTHY

Middle

WILLIAM

Last Name

SULLIVAN

Business Name

TIMOTHY WILLIAM SULLIVAN MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2010

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

06/24/2010