THOMAS E SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

THOMAS E

Last Name

SULLIVAN

Suffix

Business Name

THOMAS E SULLIVAN MD

Original Issue Date

01/01/1997

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

INGLESIDE

State

Zip

60041

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023