RYAN SULLIVAN KUKOR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060117

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

SULLIVAN

Last Name

KUKOR

Business Name

RYAN SULLIVAN KUKOR MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60643

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014