MICHAEL J SULLIVAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005229

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

SULLIVAN

Business Name

MICHAEL J SULLIVAN

Original Issue Date

09/16/2014

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/17/2026