JENNIFER AMY SULLIVAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203392

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

AMY

Last Name

SULLIVAN

Business Name

JENNIFER AMY SULLIVAN

Original Issue Date

03/30/2011

Effective Date

02/14/2012

Expiration Date

03/31/2013

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/03/2013