License holder summary

David Michael Sullivan is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for David Michael Sullivan is 4011 Gateway Blvd., Newburgh IN 47630. This licensed professional license is current. The license was granted 09/19/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

David Michael Sullivan
Controlled Substance Registration - Physician
License number
01046583E
Date granted
09/19/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4011 Gateway Blvd., Newburgh IN 47630
indianalicensing.org
ID 5905503
LAST UPDATED 2024-01-30 00:07:26 UTC

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