JULIET E SULLIVAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

JULIET

Middle

Last Name

SULLIVAN

Business Name

JULIET E SULLIVAN

Original Issue Date

04/28/2005

Effective Date

08/13/2020

Expiration Date

07/31/2023

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023