Walter Michael Sullivan
ExpiredIllinois license 049056034
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049056034
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- January 1, 1997
- License holder
- Walter Michael Sullivan
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Contact
Decatur, IL 62526
Macon County