License Directory

Stacy Lynn Sullivan

Active

Michigan license 2901021156

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2901021156
Status
Active
First issued
March 13, 2014
Expires
March 13, 2027
License holder
Stacy Lynn Sullivan
Entity type
Individual

Classifications

More from the license record

Specialties
Pediatric Dentistry

Contact

2830 Pine Lake Rd
West Bloomfield, MI 48324
Oakland County