MARTHA I GREEN - Pharmacist License in Illinois | # 049069650

MARTHA I GREEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069650

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005