TRACY DRISCOLL SULLIVAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286046

License Status

INACTIVE

Business

First Name

TRACY

Middle

DRISCOLL

Last Name

SULLIVAN

Business Name

TRACY DRISCOLL SULLIVAN

Original Issue Date

08/06/1997

Effective Date

08/06/1997

Expiration Date

03/31/2000

City

LEAVENWORTH

State

Zip

66048

County

KANSAS

Ever Disciplined

LastModifiedDate

12/06/2005