COLLEEN MICHELLE SULLIVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060912

License Status

EXPIRED

Business

First Name

COLLEEN

Middle

MICHELLE

Last Name

SULLIVAN

Suffix

Business Name

COLLEEN MICHELLE SULLIVAN MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

08/16/2016