MARLA KAY SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073285

License Status

NOT RENEWED

Business

First Name

MARLA KAY

Last Name

SULLIVAN

Business Name

MARLA KAY SULLIVAN

Original Issue Date

07/15/1980

Effective Date

07/15/1980

Expiration Date

03/31/1982

City

SIMPSON

State

Zip

62985

County

POPE

Ever Disciplined

LastModifiedDate

10/17/2005