DANIEL E SULLIVAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

DANIEL E

Last Name

SULLIVAN

Suffix

Business Name

DANIEL E SULLIVAN DO

Original Issue Date

06/16/1982

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023