JOHN S SULLIVAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

SULLIVAN

Suffix

DDS

Business Name

JOHN S SULLIVAN DDS

Original Issue Date

11/16/1987

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024