Utah
Division of Occupational and Professional Licensing
CHARLES LEON SULLIVAN
Physician - Physician & Surgeon
License number
5806271-1205
Date granted
01/24/2005
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
MISSOULA, MT 59808
utahlicensing.org
ID 29920817
LAST UPDATED 2024-05-16 04:46:11 UTC
LAST UPDATED 2024-05-16 04:46:11 UTC
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