MARY LYNN SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230297

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LYNN

Last Name

SULLIVAN

Business Name

MARY LYNN SULLIVAN

Original Issue Date

01/06/2015

Effective Date

01/21/2020

Expiration Date

03/31/2021

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/20/2021