EDWARD JOSEPH SULLIVAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

EDWARD JOSEPH

Last Name

SULLIVAN

Business Name

EDWARD JOSEPH SULLIVAN

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

WHEELING

State

Zip

60090

County

COOK

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/13/2005