MICHAEL E SULLIVAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

First Name

MICHAEL E

Last Name

SULLIVAN

Suffix

DDS

Business Name

MICHAEL E SULLIVAN DDS

Original Issue Date

10/22/1984

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/10/2025