ALVAH R SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055014

License Status

NOT RENEWED

Business

First Name

ALVAH R

Last Name

SULLIVAN

Business Name

ALVAH R SULLIVAN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005