CARL J SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154357

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

SULLIVAN

Business Name

CARL J SULLIVAN

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

03/31/2005

City

RICHTON PARK

State

Zip

60471

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005