LEAH J SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164447

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

Last Name

SULLIVAN

Business Name

LEAH J SULLIVAN

Original Issue Date

10/07/2005

Effective Date

10/07/2005

Expiration Date

03/31/2006

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/11/2006