CHARLES A SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200391

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

SULLIVAN

Business Name

CHARLES A SULLIVAN

Original Issue Date

09/07/2010

Effective Date

03/21/2011

Expiration Date

03/31/2012

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012