MICHAEL C SULLIVAN - Pharmacist License in New Mexico | # 049243515

MICHAEL C SULLIVAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243515

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

C

Last Name

SULLIVAN

Business Name

MICHAEL C SULLIVAN

Original Issue Date

07/25/2016

Effective Date

07/25/2016

Expiration Date

03/31/2017

State

NM

Ever Disciplined

N

LastModifiedDate

05/10/2017