CHRISTOPHER MICHAEL SULLIVAN
Controlled Substance Registration - Physician
Indiana 01040704B Expired
This Indiana license was held by CHRISTOPHER MICHAEL SULLIVAN. The license is no longer active. It was granted on 09/15/1992 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01040704B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/15/1992 (over 32 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Address
8528 BROADWAY, MERRILLVILLE IN 46410