MILDRED LOUISE SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057978

License Status

NOT RENEWED

Business

First Name

MILDRED LOUISE

Last Name

SULLIVAN

Business Name

MILDRED LOUISE SULLIVAN

Original Issue Date

06/24/1972

Effective Date

06/24/1972

Expiration Date

03/31/1984

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/17/2005