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 2026-05-28 09:37:27 UTC
LAST UPDATED 2026-05-28 09:37:27 UTC
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