BRENDAN JAMES SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150346

License Status

ACTIVE

Business

Title

First Name

BRENDAN

Middle

JAMES

Last Name

SULLIVAN

Business Name

BRENDAN JAMES SULLIVAN MD

Original Issue Date

07/27/2019

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10003

Ever Disciplined

LastModifiedDate

06/23/2023