JEREMY A SULLENS - Pharmacist License in Arizona | # 049179260

JEREMY A SULLENS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179260

License Status

NOT RENEWED

Business

N

First Name

JEREMY

Middle

A

Last Name

SULLENS

Business Name

JEREMY A SULLENS

Original Issue Date

09/17/2007

Effective Date

02/09/2016

Expiration Date

03/31/2017

State

AZ

Ever Disciplined

N

LastModifiedDate

05/10/2017