MICHAEL R SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110193

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

SULLIVAN

Business Name

MICHAEL R SULLIVAN

Original Issue Date

04/12/1995

Effective Date

04/12/1995

Expiration Date

03/31/1999

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005