THOMAS PATRICK SULLIVAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061335

License Status

CANCELLED

Business

Title

First Name

THOMAS

Middle

PATRICK

Last Name

SULLIVAN

Business Name

THOMAS PATRICK SULLIVAN MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60608

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/24/2014