OWEN P SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086981

License Status

NOT RENEWED

Business

First Name

OWEN

Middle

Last Name

SULLIVAN

Business Name

OWEN P SULLIVAN

Original Issue Date

06/11/1988

Effective Date

06/11/1988

Expiration Date

03/31/1993

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005