ROSS D SULLIVEN - Pharmacist License in Illinois | # 049195963

ROSS D SULLIVEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195963

License Status

NOT RENEWED

Business

N

First Name

ROSS

Middle

D

Last Name

SULLIVEN

Business Name

ROSS D SULLIVEN

Original Issue Date

12/21/2009

Effective Date

03/04/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011