MONICA F SULLIVAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007067

License Status

NOT RENEWED

Business

First Name

MONICA

Middle

Last Name

SULLIVAN

Business Name

MONICA F SULLIVAN

Original Issue Date

05/28/2019

Effective Date

05/28/2019

Expiration Date

03/01/2020

City

MILWAUKEE

State

Zip

53202

Ever Disciplined

LastModifiedDate

11/24/2020