WALTER MICHAEL SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056034

License Status

NOT RENEWED

Business

First Name

WALTER MICHAEL

Last Name

SULLIVAN

Business Name

WALTER MICHAEL SULLIVAN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005