License holder summary

Laura Ellen Jack Sullivan is a Physician licensed to practice in Indiana. The address on file for Laura Ellen Jack Sullivan is Knoxville TN 37920. This licensed professional license is current. The license was granted 07/25/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Laura Ellen Jack Sullivan
Physician
License number
01073007A
Date granted
07/25/2013
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Knoxville TN 37920
indianalicensing.org
ID 6065926
LAST UPDATED 2024-04-01 17:55:39 UTC

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