TRACY DRISCOLL SULLIVAN - Pharmacist License in Kansas | # 051286046

TRACY DRISCOLL SULLIVAN

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286046

License Status

INACTIVE

Business

N

First Name

TRACY

Middle

DRISCOLL

Last Name

SULLIVAN

Business Name

TRACY DRISCOLL SULLIVAN

Original Issue Date

08/06/1997

Effective Date

08/06/1997

Expiration Date

03/31/2000

State

KS

Ever Disciplined

N

LastModifiedDate

12/06/2005