DALLAS NICOLE SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282002

License Status

NOT RENEWED

Business

First Name

DALLAS

Middle

NICOLE

Last Name

SULLIVAN

Business Name

DALLAS NICOLE SULLIVAN

Original Issue Date

05/05/2021

Effective Date

03/04/2023

Expiration Date

03/31/2024

City

PONTIAC

State

Zip

61319

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

01/03/2025