Supriya Shah Sullivan Md
InactiveIllinois license 125074249
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 125074249
- Status
- Inactive (Cancelled)
- First issued
- June 26, 2025
- Expired
- July 17, 2025
- License holder
- Supriya Shah Sullivan
- Entity type
- Individual
Classifications
- Temporary Medical Permit Physicians & Surgeons
More from the license record
- Specialty
- General Surgery
- Current term began
- 06/26/2025
Other Illinois licenses under this name
-
IL
Supriya Shah Sullivan MdLicense 036180790 · Supriya Shah SullivanLicensed Physician and Surgeon (Medical Board)ActiveChicago, ILExpires Jul 31, 2029
-
IL
Supriya Shah Sullivan MdLicense 33*****74 · Supriya Shah SullivanLicensed Physician Controlled Substance (Medical Board)ActiveChicago, ILExpires Jul 31, 2029
Contact
Springfield, IL 62701
Sangamon County