MICHAEL J SULLIVAN - Physician Assistant License in Illinois | # 085000766

MICHAEL J SULLIVAN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000766

License Status

NOT RENEWED

Business

N

First Name

MICHAEL J

Last Name

SULLIVAN

Business Name

MICHAEL J SULLIVAN

Original Issue Date

02/07/1996

Effective Date

02/07/1996

Expiration Date

03/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006