JOHN MICHAEL SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

MICHAEL

Last Name

SULLIVAN

Business Name

JOHN MICHAEL SULLIVAN MD

Original Issue Date

01/17/2024

Effective Date

01/17/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/17/2024