BETH L SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114608

License Status

NOT RENEWED

Business

First Name

BETH L

Last Name

SULLIVAN

Business Name

BETH L SULLIVAN

Original Issue Date

07/10/1996

Effective Date

07/10/1996

Expiration Date

03/31/1999

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005