SCOTT K SULLIVAN JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

Title

First Name

SCOTT

Middle

Last Name

SULLIVAN

Suffix

Business Name

SCOTT K SULLIVAN JR MD

Original Issue Date

01/31/2012

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

METAIRIE

State

Zip

70011

County

LOUISIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023