THEODORE J SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099503

License Status

NOT RENEWED

Business

First Name

THEODORE J

Last Name

SULLIVAN

Business Name

THEODORE J SULLIVAN

Original Issue Date

03/03/1992

Effective Date

03/03/1992

Expiration Date

03/31/1993

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005