DONNA L SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115309

License Status

NOT RENEWED

Business

First Name

DONNA L

Last Name

SULLIVAN

Business Name

DONNA L SULLIVAN

Original Issue Date

09/19/1996

Effective Date

03/10/2006

Expiration Date

03/31/2007

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/14/2007