GARY DWIGHT SULLIVAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016523

License Status

NOT RENEWED

Business

First Name

GARY DWIGHT

Last Name

SULLIVAN

Suffix

DMD

Business Name

GARY DWIGHT SULLIVAN DMD

Original Issue Date

08/25/1978

Effective Date

08/25/1978

Expiration Date

04/01/1982

City

ACTON

State

Zip

01718

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/12/2005