DONALD N SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

DONALD

Middle

Last Name

SULLIVAN

Business Name

DONALD N SULLIVAN MD

Original Issue Date

03/01/2012

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

MT ZION

State

Zip

62549

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023