ANNETTE NICHOLE SULLIVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066220

License Status

EXPIRED

Business

Title

First Name

ANNETTE

Middle

NICHOLE

Last Name

SULLIVAN

Business Name

ANNETTE NICHOLE SULLIVAN MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016