ROGER EDWIN SULLIVAN DDS - Dentist License in Virginia | # 019010343

ROGER EDWIN SULLIVAN DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010343

License Status

INACTIVE

Business

N

First Name

ROGER EDWIN

Last Name

SULLIVAN

Suffix

DDS

Business Name

ROGER EDWIN SULLIVAN DDS

Original Issue Date

08/06/1953

Effective Date

08/06/1953

Expiration Date

09/30/1992

State

VA

Ever Disciplined

N

LastModifiedDate

10/12/2005