KELLY DAWN SULLINS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008426

License Status

NOT RENEWED

Business

First Name

KELLY DAWN

Last Name

SULLINS

Business Name

KELLY DAWN SULLINS

Original Issue Date

02/03/1995

Effective Date

02/03/1995

Expiration Date

09/30/1996

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005