MYRTIS L SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

MYRTIS L

Last Name

SULLIVAN

Suffix

Business Name

MYRTIS L SULLIVAN MD

Original Issue Date

07/09/1990

Effective Date

12/04/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020