RALPH S SULLIVAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019000877

License Status

NOT RENEWED

Business

First Name

RALPH S

Last Name

SULLIVAN

Business Name

RALPH S SULLIVAN

Original Issue Date

06/30/1911

Effective Date

06/30/1911

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005