PREDDIS L SULLIVAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020281

License Status

ACTIVE

Business

First Name

PREDDIS L

Last Name

SULLIVAN

Business Name

PREDDIS L SULLIVAN

Original Issue Date

08/12/1986

Effective Date

05/16/2024

Expiration Date

09/30/2027

City

WICHITA

State

Zip

67226

Ever Disciplined

LastModifiedDate

05/16/2024