License holder summary

KEVIN LAWRENCE SULLIVAN is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for KEVIN LAWRENCE SULLIVAN is 111 SOUTH 11TH STREET 4200 GIBSON BLDG Philadelphia PA 19107. This licensed professional license is not current. The license was granted 07/06/2005.

Pennsylvania

Department of State

KEVIN LAWRENCE SULLIVAN
Medicine - Written Agreement
License number
MX003915
Date granted
07/06/2005
Class
Medicine - Written Agreement
Status
Inactive
Address
111 SOUTH 11TH STREET 4200 GIBSON BLDG Philadelphia PA 19107
palicensing.org
ID 16662337
LAST UPDATED 2026-03-29 03:21:34 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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