SRIDEVI K SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

SRIDEVI

Middle

Last Name

SULLIVAN

Suffix

Business Name

SRIDEVI K SULLIVAN MD

Original Issue Date

01/10/2003

Effective Date

01/10/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020