KRISTIN M SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221966

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

SULLIVAN

Prefix

Business Name

KRISTIN M SULLIVAN

Original Issue Date

11/13/2013

Effective Date

03/25/2014

Expiration Date

03/31/2015

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2015