License holder summary

John Thomas Sullivan is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for John Thomas Sullivan is 1097 Oakview Drive, Apartment #3, Saint Charles, MN 55972. This licensed professional license is current. The license was granted 01/14/2012 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

John Thomas Sullivan
Medical - Physician Assistant
License number
11048
Date granted
01/14/2012
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
1097 Oakview Drive, Apartment #3, Saint Charles, MN 55972
mnlicensing.org
ID 22354879
LAST UPDATED 2024-05-15 20:50:54 UTC

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