License holder summary

KENNETH SULLIVAN is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for KENNETH SULLIVAN is Cape Girardeau MO 63703. This licensed professional license is not current. The license was granted 05/25/2001 and expired on 06/30/2005.

Pennsylvania

Department of State

KENNETH SULLIVAN
Dentistry - Anesthesia Permit - Restricted II
License number
DN031187A
Date granted
05/25/2001
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
Cape Girardeau MO 63703
palicensing.org
ID 16537662
LAST UPDATED 2024-03-13 05:14:16 UTC

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