KRISTA L SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098446

License Status

NOT RENEWED

Business

First Name

KRISTA L

Last Name

SULLIVAN

Business Name

KRISTA L SULLIVAN

Original Issue Date

10/21/1991

Effective Date

10/21/1991

Expiration Date

03/31/1994

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005