DEBRA ROLEY SULLIVAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002056

License Status

NOT RENEWED

Business

First Name

DEBRA ROLEY

Last Name

SULLIVAN

Business Name

DEBRA ROLEY SULLIVAN

Original Issue Date

07/11/1973

Effective Date

10/14/2021

Expiration Date

09/30/2024

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

02/04/2025