RYAN JAMES SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

JAMES

Last Name

SULLIVAN

Business Name

RYAN JAMES SULLIVAN MD

Original Issue Date

10/04/2005

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2024