JESSICA ADRIENNE SULLIVAN Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

First Name

JESSICA

Middle

ADRIENNE

Last Name

SULLIVAN

Business Name

JESSICA ADRIENNE SULLIVAN

Original Issue Date

04/27/2016

Effective Date

02/27/2025

Expiration Date

01/31/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025