LUKE EDWARD SULLIVAN D.O. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177559

License Status

ACTIVE

Business

Title

D.O.

First Name

LUKE

Middle

EDWARD

Last Name

SULLIVAN

Business Name

LUKE EDWARD SULLIVAN D.O.

Original Issue Date

10/16/2025

Effective Date

10/16/2025

Expiration Date

07/31/2026

City

MOUNTAIN TOP

State

Zip

18707

Ever Disciplined

LastModifiedDate

10/16/2025