DEVAN LEE SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279960

License Status

NOT RENEWED

Business

First Name

DEVAN

Middle

LEE

Last Name

SULLIVAN

Business Name

DEVAN LEE SULLIVAN

Original Issue Date

02/26/2021

Effective Date

02/26/2021

Expiration Date

05/31/2022

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022