HEATHER E SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288431

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

SULLIVAN

Business Name

HEATHER E SULLIVAN

Original Issue Date

11/29/2021

Effective Date

11/29/2021

Expiration Date

05/31/2022

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/27/2022