Stacy Lynn Sullivan Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019029211

Status

Inactive

First issued

August 9, 2012

Expired

September 30, 2018

License holder

Stacy Lynn Sullivan Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

07/22/2015

Other Illinois licenses under this name

• IL
  Stacy Lynn Sullivan Dds

  License 021002489

  Licensed Specialist in Dentistry (Dental)
  Inactive

  Birmingham, MI

  Expired Sep 30, 2018
• IL
  Stacy Lynn Sullivan Dds

  License 31*****88

  Licensed Dentist Controlled Substance (Dental)
  Inactive

  Birmingham, MI

  Expired Sep 30, 2018

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