ROBERT JOSPEH SULLIVAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

JOSPEH

Last Name

SULLIVAN

Business Name

ROBERT JOSPEH SULLIVAN

Original Issue Date

04/25/2007

Effective Date

04/25/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011