CORY L SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139133

License Status

NOT RENEWED

Business

First Name

CORY

Middle

Last Name

SULLIVAN

Business Name

CORY L SULLIVAN

Original Issue Date

11/08/2001

Effective Date

11/08/2001

Expiration Date

03/31/2003

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005