PRATHIMA GHANTA SULLIVAN - Pharmacist License in Illinois | # 049139275

PRATHIMA GHANTA SULLIVAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139275

License Status

NOT RENEWED

Business

N

First Name

PRATHIMA

Last Name

GHANTA SULLIVAN

Business Name

PRATHIMA GHANTA SULLIVAN

Original Issue Date

11/19/2001

Effective Date

11/19/2001

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006