MARTIN RUSSELL SULLIVAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009282

License Status

NOT RENEWED

Business

First Name

MARTIN RUSSELL

Last Name

SULLIVAN

Suffix

DDS

Business Name

MARTIN RUSSELL SULLIVAN DDS

Original Issue Date

08/04/1947

Effective Date

08/04/1947

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005