LAURA A SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098231

License Status

NOT RENEWED

Business

First Name

LAURA A

Last Name

SULLIVAN

Business Name

LAURA A SULLIVAN

Original Issue Date

10/04/1991

Effective Date

10/04/1991

Expiration Date

03/31/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005