MARIE M SULLIVAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112216

License Status

INACTIVE

Business

First Name

MARIE

Middle

Last Name

SULLIVAN

Suffix

Business Name

MARIE M SULLIVAN MD

Original Issue Date

08/26/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CARTHAGE

State

Zip

13619

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/01/2009