CHRISTOPHER THOMAS SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

CHRISTOPHER

Middle

THOMAS

Last Name

SULLIVAN

Business Name

CHRISTOPHER THOMAS SULLIVAN MD

Original Issue Date

02/06/2020

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023