WILLIAM JOSEPH SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

WILLIAM JOSEPH

Last Name

SULLIVAN

Suffix

Business Name

WILLIAM JOSEPH SULLIVAN MD

Original Issue Date

07/31/1997

Effective Date

07/31/1997

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006