JEREMY A SULLENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179260

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

Last Name

SULLENS

Business Name

JEREMY A SULLENS

Original Issue Date

09/17/2007

Effective Date

02/09/2016

Expiration Date

03/31/2017

City

MARANA

State

Zip

85658

Ever Disciplined

LastModifiedDate

05/10/2017