TERRANCE MARTIN SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175020

License Status

NOT RENEWED

Business

First Name

TERRANCE

Middle

MARTIN

Last Name

SULLIVAN

Business Name

TERRANCE MARTIN SULLIVAN

Original Issue Date

03/21/2007

Effective Date

01/31/2012

Expiration Date

03/31/2013

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013