License Directory

Supriya Shah Sullivan Md

Inactive

Illinois 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

More from the license record

Specialty
General Surgery
Current term began
06/26/2025

Other Illinois licenses under this name

  • IL
    Supriya Shah Sullivan Md
    License 036180790 · Supriya Shah Sullivan
    Licensed Physician and Surgeon (Medical Board)
    Active
    Chicago, IL
    Expires Jul 31, 2029
  • IL
    Supriya Shah Sullivan Md
    License 33*****74 · Supriya Shah Sullivan
    Licensed Physician Controlled Substance (Medical Board)
    Active
    Chicago, IL
    Expires Jul 31, 2029

Contact

Springfield, IL 62701
Sangamon County