KRISTEN L SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197944

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

SULLIVAN

Prefix

Business Name

KRISTEN L SULLIVAN

Original Issue Date

04/20/2010

Effective Date

04/20/2010

Expiration Date

03/31/2011

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

05/12/2011