License holder summary

RANDALL GENE SULLIVAN is a Board Of Medicine licensed to practice in Idaho. The address on file for RANDALL GENE SULLIVAN is HC 35 Box 4 North Platte NE 69101. This licensed professional license is not current. The license was granted 02/15/1992 and expired on 07/05/1995.

Idaho

Division of Occupational and Professional Licenses

RANDALL GENE SULLIVAN
Board Of Medicine
License number
M-5952
Date granted
02/15/1992
Date expires
07/05/1995
Class
Board Of Medicine
Status
Canceled
Address
HC 35 Box 4 North Platte NE 69101
idaholicensing.com
ID 48355465
LAST UPDATED 2026-05-13 17:40:07 UTC

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