WILLIAM P SULLIVAN DO 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

WILLIAM P

Last Name

SULLIVAN

Suffix

Business Name

WILLIAM P SULLIVAN DO

Original Issue Date

08/23/1994

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023