MICHELLE ELEANORE SULLIVAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015664

License Status

NOT RENEWED

Business

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

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

10/31/2018