LAURIE JEAN GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065506

License Status

NOT RENEWED

Business

First Name

LAURIE JEAN

Last Name

GREEN

Business Name

LAURIE JEAN GREEN

Original Issue Date

06/11/1976

Effective Date

06/11/1976

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005