JOHN EDWARD SULLIVAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000739

License Status

NOT RENEWED

Business

First Name

JOHN EDWARD

Last Name

SULLIVAN

Business Name

JOHN EDWARD SULLIVAN

Original Issue Date

09/16/2008

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/08/2016