ALLISON KATHLEEN SULLIVAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

Title

DMD

First Name

ALLISON

Middle

KATHLEEN

Last Name

SULLIVAN

Business Name

ALLISON KATHLEEN SULLIVAN DMD

Original Issue Date

08/13/2018

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ST CHARLES

State

Zip

60175

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024