MELISSA ANN SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148796

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

ANN

Last Name

SULLIVAN

Business Name

MELISSA ANN SULLIVAN

Original Issue Date

06/12/2003

Effective Date

03/29/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021