GWYNETH A SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074434

License Status

ACTIVE

Business

Title

First Name

GWYNETH

Middle

Last Name

SULLIVAN

Business Name

GWYNETH A SULLIVAN MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/24/2025