RICHARD MICHAEL SULLIVAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

RICHARD MICHAEL

Last Name

SULLIVAN

Suffix

DDS

Business Name

RICHARD MICHAEL SULLIVAN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005