WILLIAM J SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

WILLIAM J

Last Name

SULLIVAN

Suffix

Business Name

WILLIAM J SULLIVAN MD

Original Issue Date

01/11/1989

Effective Date

01/11/1989

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006