ANDREW D SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196308

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

SULLIVAN

Business Name

ANDREW D SULLIVAN

Original Issue Date

01/19/2010

Effective Date

01/19/2010

Expiration Date

03/31/2011

City

BROOKPORT

State

Zip

62910

County

MASSAC

Ever Disciplined

LastModifiedDate

05/12/2011