MICHAEL ANDREW SULLIVAN
Physician Assistant Controlled Substance
Illinois 385001185 Not Renewed
This Illinois license was held by MICHAEL ANDREW SULLIVAN. The license is no longer active. It was granted on 11/12/2004 and expired on 03/01/2008
LICENSE DETAILS
- License Number: 385001185
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 11/12/2004 (over 20 years ago)
- Expiry Date: 03/01/2008 (over 17 years ago)
LOCATIONS
A Address
PEARLAND, TX 77584