MARY ANN SULLIVAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000775

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

SULLIVAN

Business Name

MARY ANN SULLIVAN

Original Issue Date

07/15/1965

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/24/2006