BETHANY L SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245552

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

Last Name

SULLIVAN

Prefix

Business Name

BETHANY L SULLIVAN

Original Issue Date

10/19/2016

Effective Date

03/08/2017

Expiration Date

03/31/2018

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/19/2018