CHRISTOPHER M SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

CHRISTOPHER M

Last Name

SULLIVAN

Suffix

Business Name

CHRISTOPHER M SULLIVAN MD

Original Issue Date

09/29/1982

Effective Date

08/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/25/2023