David Michael Sullivan
Controlled Substance Registration - Physician
Indiana 01046583C Expired
This Indiana license was held by David Michael Sullivan. The license is no longer active. It was granted on 04/12/1999 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01046583C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/12/1999 (about 26 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
DEACONESS BREAST CENTER, 520 MARY ST STE 140, EVANSVILLE IN 47710