ALICIA A SULLIVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139046

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

Last Name

SULLIVAN

Business Name

ALICIA A SULLIVAN

Original Issue Date

11/02/2001

Effective Date

11/02/2001

Expiration Date

03/31/2002

City

WAUWATOSA

State

Zip

53226

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005