BRALY SULLIVAN MYERS II DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012971

License Status

INACTIVE

Business

First Name

BRALY

Middle

SULLIVAN

Last Name

MYERS

Suffix

II DDS

Business Name

BRALY SULLIVAN MYERS II DDS

Original Issue Date

07/29/1966

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2006