MARTHA I GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069650

License Status

NOT RENEWED

Business

First Name

MARTHA I

Last Name

GREEN

Business Name

MARTHA I GREEN

Original Issue Date

06/30/1978

Effective Date

06/30/1978

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005