Idaho
Division of Occupational and Professional Licenses
Dr. ROBERT SULLIVAN
Board Of Medicine
License number
M-12554
Date granted
07/01/2014
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
3900 EUBANK BLVD NE ALBUQUERQUE NM 87111
idaholicensing.com
ID 48355468
LAST UPDATED 2024-04-19 12:57:26 UTC
LAST UPDATED 2024-04-19 12:57:26 UTC
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