BETTY JEAN SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049050559

License Status

NOT RENEWED

Business

First Name

BETTY JEAN

Last Name

SULLIVAN

Business Name

BETTY JEAN SULLIVAN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

S. BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005