SCOTT JAMES SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146405

License Status

ACTIVE

Business

Title

First Name

SCOTT

Middle

JAMES

Last Name

SULLIVAN

Business Name

SCOTT JAMES SULLIVAN MD

Original Issue Date

06/12/2018

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

06/13/2023