KELLY A SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108294

License Status

NOT RENEWED

Business

First Name

KELLY A

Last Name

SULLIVAN

Business Name

KELLY A SULLIVAN

Original Issue Date

09/28/1994

Effective Date

09/28/1994

Expiration Date

03/31/2001

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005