OWEN P SULLIVAN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038956

License Status

ACTIVE

Business

First Name

OWEN

Middle

Last Name

SULLIVAN

Business Name

OWEN P SULLIVAN

Original Issue Date

08/11/1992

Effective Date

02/19/2026

Expiration Date

03/31/2028

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

02/19/2026