TERENCE P SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

TERENCE P

Last Name

SULLIVAN

Suffix

Business Name

TERENCE P SULLIVAN MD

Original Issue Date

03/07/1991

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60604

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023