License holder summary

STACY LYNN SULLIVAN is a Dentist, Hygienist, Dental Assistant - Pediatric Dentist licensed to practice in Michigan. The address on file for STACY LYNN SULLIVAN is Birmingham, MI 48009. This licensed professional license is current. The license was granted 03/13/2014 and expired on 08/31/2017.

Michigan

Department of Licensing and Regulation

STACY LYNN SULLIVAN
Dentist, Hygienist, Dental Assistant - Pediatric Dentist
License number
2901021156
Date granted
03/13/2014
Date expires
08/31/2017
Class
Dentist, Hygienist, Dental Assistant - Pediatric Dentist
Status
Active
Address
Birmingham, MI 48009
michiganlicensing.org
ID 25668765
LAST UPDATED 2024-02-12 05:45:02 UTC

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