THERESE E SULLIVAN - Physician Assistant License in Illinois | # 085003070

THERESE E SULLIVAN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003070

License Status

NOT RENEWED

Business

N

First Name

THERESE

Middle

E

Last Name

SULLIVAN

Business Name

THERESE E SULLIVAN

Original Issue Date

09/26/2007

Effective Date

02/26/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018