MARY L SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105676

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

SULLIVAN

Business Name

MARY L SULLIVAN

Original Issue Date

01/11/1994

Effective Date

01/11/1994

Expiration Date

03/31/1999

City

MARION

State

Zip

62924

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005