ANTOINETTE SULLIVAN - Pharmacist License in Illinois | # 049060899

ANTOINETTE SULLIVAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060899

License Status

NOT RENEWED

Business

N

First Name

ANTOINETTE

Last Name

SULLIVAN

Business Name

ANTOINETTE SULLIVAN

Original Issue Date

01/28/1974

Effective Date

01/28/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005