WON J SULL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

WON J

Last Name

SULL

Suffix

Business Name

WON J SULL MD

Original Issue Date

06/15/1992

Effective Date

06/15/1992

Expiration Date

07/31/1999

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006