BREANNA TAYLOR SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273333

License Status

NOT RENEWED

Business

First Name

BREANNA

Middle

TAYLOR

Last Name

SULLIVAN

Business Name

BREANNA TAYLOR SULLIVAN

Original Issue Date

05/19/2020

Effective Date

05/19/2020

Expiration Date

03/31/2021

City

BELLMORE

State

Zip

11710

Ever Disciplined

LastModifiedDate

07/20/2021