JOHN EDWARD SULLIVAN - Dentist License in Illinois | # 137000739

JOHN EDWARD SULLIVAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000739

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016