JOSEPH T SULLIVAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

First Name

JOSEPH T

Last Name

SULLIVAN

Business Name

JOSEPH T SULLIVAN

Original Issue Date

10/07/1988

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

SAINT CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024