MICHELLE ELEANORE SULLIVAN - Dentist License in Iowa | # 020015664

MICHELLE ELEANORE SULLIVAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015664

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

ELEANORE

Last Name

SULLIVAN

Business Name

MICHELLE ELEANORE SULLIVAN

Original Issue Date

09/20/2016

Effective Date

09/20/2016

Expiration Date

09/30/2018

State

IA

Ever Disciplined

N

LastModifiedDate

10/31/2018