THOMAS M SULLIVAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002229

License Status

NOT RENEWED

Business

First Name

THOMAS M

Last Name

SULLIVAN

Business Name

THOMAS M SULLIVAN

Original Issue Date

07/30/1954

Effective Date

07/30/1954

Expiration Date

07/01/1982

City

WAWWATOSA

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2006