TIMOTHY PAUL SULLIVAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

TIMOTHY PAUL

Last Name

SULLIVAN

Business Name

TIMOTHY PAUL SULLIVAN

Original Issue Date

11/01/1984

Effective Date

11/09/2021

Expiration Date

09/30/2024

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025