JOHN S SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

SULLIVAN

Suffix

Business Name

JOHN S SULLIVAN MD

Original Issue Date

10/31/2007

Effective Date

10/31/2007

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008