Idaho
Division of Occupational and Professional Licenses
DANIEL J. SULLIVAN
Board Of Medicine
License number
M-3862
Date granted
11/04/1978
Date expires
07/02/1992
Class
Board Of Medicine
Status
Canceled
Address
1233 E 2nd St Casper WY 82601
idaholicensing.com
ID 48355446
LAST UPDATED 2024-02-25 04:41:35 UTC
LAST UPDATED 2024-02-25 04:41:35 UTC
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