KATHLEEN SUE SULLIVAN - Dentist License in Illinois | # 020000777

KATHLEEN SUE SULLIVAN

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000777

License Status

INACTIVE

Business

N

First Name

KATHLEEN SUE

Last Name

SULLIVAN

Business Name

KATHLEEN SUE SULLIVAN

Original Issue Date

07/15/1965

Effective Date

07/15/1965

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005