JOSEPH ROBERT SULLIVAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167157

License Status

ACTIVE

Business

Title

First Name

JOSEPH

Middle

ROBERT

Last Name

SULLIVAN

Business Name

JOSEPH ROBERT SULLIVAN DO

Original Issue Date

09/25/2023

Effective Date

09/25/2023

Expiration Date

07/31/2026

City

MEQUON

State

Zip

53097

Ever Disciplined

LastModifiedDate

09/25/2023