GERTRUDE E SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108183

License Status

NOT RENEWED

Business

First Name

GERTRUDE E

Last Name

SULLIVAN

Business Name

GERTRUDE E SULLIVAN

Original Issue Date

09/21/1994

Effective Date

09/21/1994

Expiration Date

03/31/1999

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005