DONALD T SULLIVAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028867

License Status

INACTIVE

Business

First Name

DONALD T

Last Name

SULLIVAN

Business Name

DONALD T SULLIVAN

Original Issue Date

01/01/1997

Effective Date

01/22/2014

Expiration Date

03/31/2016

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/28/2016