JOAN MARIE SULLIVAN - Physician Assistant License in Illinois | # 085003454

JOAN MARIE SULLIVAN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003454

License Status

NOT RENEWED

Business

N

First Name

JOAN

Middle

MARIE

Last Name

SULLIVAN

Business Name

JOAN MARIE SULLIVAN

Original Issue Date

04/23/2009

Effective Date

01/25/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/05/2015