DEBORAH ANN SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126212

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

ANN

Last Name

SULLIVAN

Business Name

DEBORAH ANN SULLIVAN

Original Issue Date

06/07/1999

Effective Date

06/07/1999

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005