M MICHELLE SULLIVAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005014

License Status

INACTIVE

Business

First Name

M MICHELLE

Last Name

SULLIVAN

Business Name

M MICHELLE SULLIVAN

Original Issue Date

08/20/1982

Effective Date

08/20/1982

Expiration Date

09/30/1990

City

WEST BLOOMFIELD

State

Zip

48322

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005