DANIEL B SULLIVAN JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021780

License Status

NOT RENEWED

Business

First Name

DANIEL B

Last Name

SULLIVAN JR

Suffix

DDS

Business Name

DANIEL B SULLIVAN JR DDS

Original Issue Date

10/07/1989

Effective Date

10/07/1989

Expiration Date

09/30/2000

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005