TERRY EUGENE SULLIVAN Pharmacist License verification

TERRY EUGENE SULLIVAN

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293726

License Status

ACTIVE

Business

First Name

TERRY

Middle

EUGENE

Last Name

SULLIVAN

Business Name

TERRY EUGENE SULLIVAN

Original Issue Date

08/17/2009

Effective Date

03/15/2026

Expiration Date

03/31/2028

City

MAKANDA

State

Zip

62958

Ever Disciplined

LastModifiedDate

03/15/2026

Case Number

2011002524

Action

Suspension

Discipline Start Date

05/07/2012

Discipline End Date

03/22/2022

Discipline Reason

due to diversion of controlled substances, legend drugs and an over-the-counter medication from his pharmacy employer for self use and, related to such, voluntarily surrendered his Missouri pharmacist license.