License holder summary

JOHN THOMAS SULLIVAN is a Board Of Medicine licensed to practice in Idaho. The address on file for JOHN THOMAS SULLIVAN is 1245 W CARDINAL AVE HAYDEN ID 83835. This licensed professional license is current. The license was granted 04/14/2006 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JOHN THOMAS SULLIVAN
Board Of Medicine
License number
M-9556
Date granted
04/14/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1245 W CARDINAL AVE HAYDEN ID 83835
idaholicensing.com
ID 48355458
LAST UPDATED 2024-02-28 16:51:44 UTC

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