HORTENSE LOUISE SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057517

License Status

NOT RENEWED

Business

First Name

HORTENSE LOUISE

Last Name

SULLIVAN

Business Name

HORTENSE LOUISE SULLIVAN

Original Issue Date

03/16/1972

Effective Date

03/16/1972

Expiration Date

03/31/1992

City

MOUNDS

State

Zip

62964

County

PULASKI

Ever Disciplined

LastModifiedDate

10/17/2005