Ohio
Board of Licensing
Sullivan, Grant- Internal Medicine Care
Medical Board - 41.Pa Supervision Agreement
License number
41.16488-SA
Date granted
04/11/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
405 W. Grand Ave., Grandview Medical Center, Dayton, OH 45405
ohiolicensing.org
ID 29540704
LAST UPDATED 2026-08-04 14:25:56 UTC
LAST UPDATED 2026-08-04 14:25:56 UTC