SEAN WILLIAM SULLIVAN
Controlled Substance Registration-Osteopathic Physician
Indiana 02002109B Expired
This Indiana license was held by SEAN WILLIAM SULLIVAN. The license is no longer active. It was granted on 09/16/1999 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 02002109B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 09/16/1999 (almost 27 years ago)
- Expiry Date: 06/30/2001 (almost 25 years ago)
LOCATIONS
A Address
INDIANA HEALTH CENTER, 1901 W WESTERN, SOUTH BEND IN 46619