DUSTY ROSE SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206546

License Status

NOT RENEWED

Business

First Name

DUSTY

Middle

ROSE

Last Name

SULLIVAN

Business Name

DUSTY ROSE SULLIVAN

Original Issue Date

09/08/2011

Effective Date

02/07/2012

Expiration Date

03/31/2013

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2013