DIANE MARIE SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198515

License Status

NOT RENEWED

Business

First Name

DIANE MARIE

Last Name

SULLIVAN

Business Name

DIANE MARIE SULLIVAN

Original Issue Date

05/25/2010

Effective Date

05/25/2010

Expiration Date

03/31/2011

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/12/2011