Laura Ellen Jack Sullivan

Temporary Medical Doctor Permit

Indiana  99057791A   Superceded

This Indiana license was held by Laura Ellen Jack Sullivan. The license is no longer active. It was granted on 06/27/2013 and expired on 09/27/2013

LICENSE DETAILS

  • License Number: 99057791A
  • Category: Temporary MD Permit
  • Status: Superceded
  • Date Granted: 06/27/2013 (about 13 years ago)
  • Expiry Date: 09/27/2013 (almost 13 years ago)

LOCATIONS

A Address

Knoxville TN 37920