License holder summary

MARY-MARIE AUSTIN SULLIVAN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for MARY-MARIE AUSTIN SULLIVAN is PROVO, UT 84601. This licensed professional license is current. The license was granted 07/18/2012 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

MARY-MARIE AUSTIN SULLIVAN
Physician - Physician & Surgeon
License number
8380179-1205
Date granted
07/18/2012
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
PROVO, UT 84601
utahlicensing.org
ID 29930005
LAST UPDATED 2024-04-19 10:09:05 UTC

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