PORTIA M SULLIVAN - Pharmacist License in Illinois | # 049149402

PORTIA M SULLIVAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149402

License Status

NOT RENEWED

Business

N

First Name

PORTIA

Middle

M

Last Name

SULLIVAN

Business Name

PORTIA M SULLIVAN

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005