KATIE MARIE SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175412

License Status

ACTIVE

Business

Title

First Name

KATIE

Middle

MARIE

Last Name

SULLIVAN

Business Name

KATIE MARIE SULLIVAN MD

Original Issue Date

06/12/2025

Effective Date

06/12/2025

Expiration Date

07/31/2026

City

WAUWATOSA

State

Zip

53213

Ever Disciplined

LastModifiedDate

02/10/2026