SAMANTHA SULLIVAN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049293921

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

SULLIVAN

Business Name

SAMANTHA SULLIVAN

Original Issue Date

07/07/2022

Effective Date

03/26/2025

Expiration Date

03/31/2026

City

MAKANDA

State

Zip

62958

Ever Disciplined

LastModifiedDate

01/30/2026