THOMAS D SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

THOMAS D

Last Name

SULLIVAN

Suffix

Business Name

THOMAS D SULLIVAN MD

Original Issue Date

01/01/1997

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

OAK BROOK

State

Zip

60522

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021