MARY E SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060188

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

SULLIVAN

Business Name

MARY E SULLIVAN

Original Issue Date

08/31/1973

Effective Date

08/31/1973

Expiration Date

03/31/1994

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

04/20/2010