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Licensee Information

Timothy Michael Sullivan - MD
9900691
Active
Yes
05/22/1999
11/26/2026
See: Actions-Adverse & Administrative Tab

Active Supervisees

NameTypeStatusApprovedInactive
Godfrey, Alexandra Heloise Physician Assistant Active 06/14/2017
Harris, Nicole Evette Physician Assistant Active 02/02/2024
Otterberg, Dustin Jay Physician Assistant Active 05/05/2022
Vanderbilt, Edward Roy Nurse Practitioner Active 04/01/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Pennsylvania

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 9/22/2026 4:00:42 AM
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