HALLEY CHRISTINE SULLIVAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068961

License Status

CANCELLED

Business

Title

First Name

HALLEY

Middle

CHRISTINE

Last Name

SULLIVAN

Business Name

HALLEY CHRISTINE SULLIVAN DO

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2019

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/16/2016