LISA M SULLIVAN MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****44

ACTIVE

N

MD

LISA

M

SULLIVAN

LISA M SULLIVAN MD

08/08/2002

05/19/2023

07/31/2026

HIGHLAND PARK

IL

60035

LAKE

II III IV V

N

05/30/2023