THOMAS E SULLIVAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

SULLIVAN

Suffix

DDS

Business Name

THOMAS E SULLIVAN DDS

Original Issue Date

09/30/1992

Effective Date

09/30/1992

Expiration Date

09/30/1994

City

BROOKFIELD

State

Zip

60513

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005