ERIC FRANCIS SULAVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000824

License Status

EXPIRED

Business

Title

First Name

ERIC

Middle

FRANCIS

Last Name

SULAVA

Business Name

ERIC FRANCIS SULAVA MD

Original Issue Date

04/01/2019

Effective Date

04/01/2019

Expiration Date

09/30/2019

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

LastModifiedDate

01/13/2020