MAURICE E SULLIVAN III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096514

License Status

NOT RENEWED

Business

First Name

MAURICE E

Last Name

SULLIVAN III

Suffix

Business Name

MAURICE E SULLIVAN III

Original Issue Date

04/12/1991

Effective Date

04/12/1991

Expiration Date

03/31/1995

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005