MICHAEL J SULLIVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001136

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

Last Name

SULLIVAN

Business Name

MICHAEL J SULLIVAN MD

Original Issue Date

10/19/2016

Effective Date

10/19/2016

Expiration Date

04/18/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/19/2017