SRIDEVI K SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

SRIDEVI

Middle

Last Name

SULLIVAN

Suffix

Business Name

SRIDEVI K SULLIVAN MD

Original Issue Date

03/19/1999

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023