ROSS D SULLIVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195963

License Status

NOT RENEWED

Business

First Name

ROSS

Middle

Last Name

SULLIVEN

Business Name

ROSS D SULLIVEN

Original Issue Date

12/21/2009

Effective Date

03/04/2010

Expiration Date

03/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011