MICHAEL WILLIAM SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098278

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

WILLIAM

Last Name

SULLIVAN

Suffix

Business Name

MICHAEL WILLIAM SULLIVAN MD

Original Issue Date

07/14/1998

Effective Date

06/08/2011

Expiration Date

07/31/2014

City

SAGINAW

State

Zip

48601

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/17/2014