THOMAS LEE SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081555

License Status

NOT RENEWED

Business

First Name

THOMAS LEE

Last Name

SULLIVAN

Business Name

THOMAS LEE SULLIVAN

Original Issue Date

09/03/1985

Effective Date

09/03/1985

Expiration Date

03/31/1988

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005