Brian Michael Sullivan
ExpiredCalifornia license A107584
License
- Licensed by
- Medical Board of California
- License number
- A107584
- Status
- Expired (Delinquent)
- First issued
- May 1, 2009
- Expired
- November 30, 2022
- License holder
- Brian Michael Sullivan
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
514 Americas Way
Apt 6347
Box Elder, SD 57719-7600
Apt 6347
Box Elder, SD 57719-7600
Pennington County