License holder summary

THERESE SULLIVAN is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 11/08/2010 and expired on 08/31/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

THERESE SULLIVAN
Physicians Assistants - Physician Assistant
License number
5601005937
Date granted
11/08/2010
Date expires
08/31/2017
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39311517
LAST UPDATED 2021-08-01 06:07:53 UTC

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