PATRICK P SULLIVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120694

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

SULLIVAN

Suffix

Business Name

PATRICK P SULLIVAN MD

Original Issue Date

04/23/2008

Effective Date

04/23/2008

Expiration Date

07/31/2011

City

STAPLES

State

Zip

56479

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/14/2011