License holder summary

DANIEL J. SULLIVAN is a Board Of Medicine licensed to practice in Idaho. The address on file for DANIEL J. SULLIVAN is 1233 E 2nd St Casper WY 82601. This licensed professional license is not current. The license was granted 11/04/1978 and expired on 07/02/1992.

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 2026-05-09 07:30:22 UTC

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