RICHARD K SULLIVAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

RICHARD K

Last Name

SULLIVAN

Business Name

RICHARD K SULLIVAN

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

ELMHURST

State

Zip

60126

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005