DAVID RYAN SULLIVAN DPM - Podiatrist License in Illinois | # 016005002

DAVID RYAN SULLIVAN DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005002

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

RYAN

Last Name

SULLIVAN

Suffix

DPM

Business Name

DAVID RYAN SULLIVAN DPM

Original Issue Date

01/10/2001

Effective Date

02/01/2007

Expiration Date

01/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

03/17/2009