ALICIA A SULLIVAN - Pharmacist License in Wisconsin | # 049139046

ALICIA A SULLIVAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139046

License Status

NOT RENEWED

Business

N

First Name

ALICIA

Middle

A

Last Name

SULLIVAN

Business Name

ALICIA A SULLIVAN

Original Issue Date

11/02/2001

Effective Date

11/02/2001

Expiration Date

03/31/2002

State

WI

Ever Disciplined

N

LastModifiedDate

12/06/2005