ANDREA LEE SULLIVAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031511

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

LEE

Last Name

SULLIVAN

Business Name

ANDREA LEE SULLIVAN

Original Issue Date

02/16/2018

Effective Date

09/22/2021

Expiration Date

09/30/2024

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/04/2025