KELSEY NANETTE SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267576

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

NANETTE

Last Name

SULLIVAN

Business Name

KELSEY NANETTE SULLIVAN

Original Issue Date

08/29/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

07/20/2021