JOHN EDWARD SULLIVAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

First Name

JOHN EDWARD

Last Name

SULLIVAN

Business Name

JOHN EDWARD SULLIVAN

Original Issue Date

11/16/1983

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024