DANIEL RICHARD SULLIVAN

Controlled Substance Registration - Physician

Indiana  01019834B   Expired

This Indiana license was held by DANIEL RICHARD SULLIVAN. The license is no longer active. It was granted on 04/22/1999 and expired on 06/30/2003

LICENSE DETAILS

  • License Number: 01019834B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 04/22/1999 (about 25 years ago)
  • Expiry Date: 06/30/2003 (almost 21 years ago)

LOCATIONS

A Address

ST MARY'S OCCUP AND URGENT CARD MED, 2330 LYNCH RD ATTN MAUREEN OCONNOR, Evansville IN 47711