KENDELL A SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099895

License Status

NOT RENEWED

Business

First Name

KENDELL A

Last Name

SULLIVAN

Business Name

KENDELL A SULLIVAN

Original Issue Date

04/21/1992

Effective Date

04/21/1992

Expiration Date

03/31/1993

City

WILLOW SPRINGS

State

Zip

60480

Ever Disciplined

LastModifiedDate

10/17/2005