License holder summary

SULLIVAN THEODORE ROBERT is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for SULLIVAN THEODORE ROBERT is FORT WASHINGTON PA. This doctor license is current. The license was granted 02/25/2004 and expired on 11/30/2015.

New York

Office of the Professions

SULLIVAN THEODORE ROBERT
Medicine (Physician, Including M Ds & D Os)
License number
231411
Date granted
02/25/2004
Date expires
11/30/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
FORT WASHINGTON PA
nymedicine.org
ID 30290954
LAST UPDATED 2026-06-03 21:21:46 UTC

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