LANCE JERROD SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120928

License Status

NOT RENEWED

Business

First Name

LANCE

Middle

JERROD

Last Name

SULLIVAN

Business Name

LANCE JERROD SULLIVAN

Original Issue Date

05/08/1998

Effective Date

04/01/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010