TAYLOR MCKENZIE SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051302416

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

MCKENZIE

Last Name

SULLIVAN

Business Name

TAYLOR MCKENZIE SULLIVAN

Original Issue Date

08/19/2019

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

LAFAYETTE

State

Zip

37083

Ever Disciplined

LastModifiedDate

10/14/2022