GARY DWIGHT SULLIVAN DMD - Dentist License in Massachusetts | # 019016523

GARY DWIGHT SULLIVAN DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016523

License Status

NOT RENEWED

Business

N

First Name

GARY DWIGHT

Last Name

SULLIVAN

Suffix

DMD

Business Name

GARY DWIGHT SULLIVAN DMD

Original Issue Date

08/25/1978

Effective Date

08/25/1978

Expiration Date

04/01/1982

State

MA

Ever Disciplined

N

LastModifiedDate

10/12/2005