License holder summary

Clyde Dale Sullivan II is a Medical Board - 57.Md Training Certificate licensed to practice in Ohio. The address on file for Clyde Dale Sullivan II is University Hospitals Case Medical Center, Office of GME-Lakeside 6223-C, 11100 Euclid Ave, Cleveland, OH 44106. This licensed professional license is not current. The license was granted 10/27/2004 and expired on 06/23/2007.

Ohio

Board of Licensing

Clyde Dale Sullivan II
Medical Board - 57.Md Training Certificate
License number
57.009423
Date granted
10/27/2004
Date expires
06/23/2007
Class
Medical Board - 57.Md Training Certificate
Status
Inactive
Address
University Hospitals Case Medical Center, Office of GME-Lakeside 6223-C, 11100 Euclid Ave, Cleveland, OH 44106
ohiolicensing.org
ID 28564174
LAST UPDATED 2024-04-04 00:10:26 UTC

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