License holder summary

Michael Edward Sullivan is a Medical Residency Permit licensed to practice in Indiana. The address on file for Michael Edward Sullivan is South Bend IN 46615. This licensed professional license is not current. The license was granted 05/14/2001 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Michael Edward Sullivan
Medical Residency Permit
License number
11010386A
Date granted
05/14/2001
Date expires
06/30/2003
Class
Medical Residency Permit
Status
Superceded
Address
South Bend IN 46615
indianalicensing.org
ID 5996565
LAST UPDATED 2024-02-07 17:03:28 UTC

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