MICHAEL R SULLIVAN - Pharmacist License in Illinois | # 049110193

MICHAEL R SULLIVAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110193

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

R

Last Name

SULLIVAN

Business Name

MICHAEL R SULLIVAN

Original Issue Date

04/12/1995

Effective Date

04/12/1995

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005