License holder summary

SULLIVAN ROGER H is a Dental License licensed to practice in California. The address on file for SULLIVAN ROGER H is 9762 EASTWOOD CIRCLE VILLA PARK CA 92861. This licensed professional license is not current. The license was granted 01/01/1964 and expired on 06/30/2012.

California

Department of Consumer Affairs

SULLIVAN ROGER H
Dental License
License number
17781
Date granted
01/01/1964
Date expires
06/30/2012
Class
Dental License
Status
DELINQUENT, RADIATION SAFETY CERTIFICATION FILED WITH BOARD
Address
9762 EASTWOOD CIRCLE VILLA PARK CA 92861
californialicensing.org
ID 19807596
LAST UPDATED 2024-05-15 14:39:28 UTC

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