THE SULLIVAN PHARMACY Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005001

License Status

CHANGE OF OWNERSHIP

Business

Business Name

THE SULLIVAN PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/17/2005