JOHN F SULLIVAN JR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

JOHN F

Last Name

SULLIVAN JR

Suffix

Business Name

JOHN F SULLIVAN JR DO

Original Issue Date

08/14/1990

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023