MARIA MICHELLE SULLIVAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008077

License Status

ACTIVE

Business

First Name

MARIA

Middle

MICHELLE

Last Name

SULLIVAN

Business Name

MARIA MICHELLE SULLIVAN

Original Issue Date

11/09/2020

Effective Date

02/14/2024

Expiration Date

03/01/2026

City

SAINT LOUIS

State

Zip

63122

Ever Disciplined

LastModifiedDate

12/03/2025