PRUDENCE GREEN - Pharmacist License in Illinois | # 049069158

PRUDENCE GREEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069158

License Status

NOT RENEWED

Business

N

First Name

PRUDENCE

Last Name

GREEN

Business Name

PRUDENCE GREEN

Original Issue Date

04/14/1978

Effective Date

04/14/1978

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005