SAVANNAH MAE SULLIVAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

ACTIVE

Business

First Name

SAVANNAH

Middle

MAE

Last Name

SULLIVAN

Business Name

SAVANNAH MAE SULLIVAN

Original Issue Date

07/12/2022

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

NORTHBROOK

State

Zip

60062

County

COOK

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/10/2026