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From 1994 to 2005, Sullivan served as an Assistant United States Attorney for the Southern District of New York, where he successfully prosecuted the Maisonet heroin organization, which sold approximately $100,000 worth of heroin per day in the Hunts Point section of the Bronx and carried out numerous murders in aid of its racketeering activity. Among those prosecuted in that case was Bronx defense attorney Pat Stiso, who acted as house counsel to the RICO enterprise. Other notable cases included the investigation and indictment of Mario Villanueva Madrid, who as governor of the Mexican state of Quintana Roo accepted millions of dollars from Mexican drug cartels in exchange for providing safe passage for ton quantities of cocaine en route to the United States. Madrid was eventually extradited to the United States, where he pleaded guilty to money laundering conspiracy.
In 2002, Sullivan became chief of the newly created International Narcotics Trafficking Unit (INT), which was responsible for investigating and prosecuting the world's largest and most powerful narcotics organizations. Among the noteworthy defendants prosecuted by that unit were Colombia kingpins Alberto Orlandez Gamboa, Diego Murillo Bejarano, and Miguel and Gilberto Rodriguez Orejuela; Afghan warlord Bashir Noorzai; Dutch ecstasy kingpin Henk Rommy; and the leadership of the Revolutionary Armed Forces of Colombia (FARC).
Sullivan was named Prosecutor of the Year by the Federal Law Enforcement Association in 1998 and was awarded the Henry L. Stimson Medal from the New York City Bar Association in 2003. In 2005, Sullivan joined Marsh, Inc., a global risk and insurances firm, as deputy general counsel for litigation. He was named general counsel of Marsh in June 2006.
On April 26, 2018, President Donald Trump announced his intent to nominate Sullivan to serve as a United States Circuit Judge of the United States Court of Appeals for the Second Circuit. On May 7, 2018, his nomination was sent to the Senate. He was nominated to the seat vacated by Judge Richard C. Wesley, who assumed senior status on August 1, 2016. On August 1, 2018, a hearing on his nomination was held before the Senate Judiciary Committee. On September 13, 2018, his nomination was reported out of committee by a 17–4 vote. On October 11, 2018, his nomination was confirmed by a 79–16 vote. He received his judicial commission on October 17, 2018.