MILDRED ANN SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076863

License Status

NOT RENEWED

Business

First Name

MILDRED ANN

Last Name

SULLIVAN

Business Name

MILDRED ANN SULLIVAN

Original Issue Date

07/23/1982

Effective Date

07/23/1982

Expiration Date

03/31/1988

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005