LISA J SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147320

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

SULLIVAN

Business Name

LISA J SULLIVAN

Original Issue Date

03/06/2003

Effective Date

03/28/2016

Expiration Date

03/31/2017

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/10/2017