LESLIE L SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145597

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

SULLIVAN

Business Name

LESLIE L SULLIVAN

Original Issue Date

10/30/2002

Effective Date

01/23/2017

Expiration Date

03/31/2018

City

COLCHESTER

State

Zip

62326

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

06/19/2018