ANTOINETTE SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060899

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005