KEVIN P SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

KEVIN P

Last Name

SULLIVAN

Suffix

Business Name

KEVIN P SULLIVAN MD

Original Issue Date

06/01/1988

Effective Date

06/01/1988

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006