David Michael Sullivan
Controlled Substance Registration - Physician
Indiana 01046583D Expired
This Indiana license was held by David Michael Sullivan. The license is no longer active. It was granted on 06/13/2001 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01046583D
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/13/2001 (about 24 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
MIDWEST RADIOLOGIC IMAGING, 4087 GATEWAY BOULEVARD, Newburgh IN 47630