BRIAN M SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082815

License Status

NOT RENEWED

Business

First Name

BRIAN M

Last Name

SULLIVAN

Business Name

BRIAN M SULLIVAN

Original Issue Date

06/16/1986

Effective Date

06/16/1986

Expiration Date

03/31/1990

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005