ROBERT BURKEY SULLIVAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

ROBERT BURKEY

Last Name

SULLIVAN

Suffix

DDS

Business Name

ROBERT BURKEY SULLIVAN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005