MARY J SULLIVAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006125

License Status

INACTIVE

Business

First Name

MARY J

Last Name

SULLIVAN

Business Name

MARY J SULLIVAN

Original Issue Date

07/16/1986

Effective Date

07/16/1986

Expiration Date

09/30/2000

City

CARMEL

State

Zip

46033

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005