MICHAEL WILLIAM SULLIVAN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059183

License Status

INACTIVE

Business

First Name

MICHAEL WILLIAM

Last Name

SULLIVAN

Suffix

Business Name

MICHAEL WILLIAM SULLIVAN DO

Original Issue Date

08/20/1979

Effective Date

08/20/1979

Expiration Date

07/31/1987

City

MOUNT CLEMENS

State

Zip

48045

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006