Utah
Division of Occupational and Professional Licensing
BRIAN JACOB SULLIVAN
Physician - Physician & Surgeon
License number
7771385-1205
Date granted
09/27/2010
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
RUTLAND, MA 015431246
utahlicensing.org
ID 29920140
LAST UPDATED 2024-03-19 21:25:06 UTC
LAST UPDATED 2024-03-19 21:25:06 UTC
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