BRIAN C SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

SULLIVAN

Suffix

Business Name

BRIAN C SULLIVAN MD

Original Issue Date

03/03/1997

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

06/22/2023