CONNOR JAMES SULLIVAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

ACTIVE

Business

First Name

CONNOR

Middle

JAMES

Last Name

SULLIVAN

Business Name

CONNOR JAMES SULLIVAN

Original Issue Date

08/07/2021

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

WHEATON

State

Zip

60187

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/13/2026