TIMOTHY BITTORF SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

BITTORF

Last Name

SULLIVAN

Suffix

Business Name

TIMOTHY BITTORF SULLIVAN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017