BRIANA ELISE SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178532

License Status

NOT RENEWED

Business

First Name

BRIANA

Middle

ELISE

Last Name

SULLIVAN

Business Name

BRIANA ELISE SULLIVAN

Original Issue Date

08/17/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/06/2009