LANCE JERROD SULLIVAN - Pharmacist License in Illinois | # 049120928

LANCE JERROD SULLIVAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120928

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010