SHIRLEY A GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097893

License Status

NOT RENEWED

Business

First Name

SHIRLEY A

Last Name

GREEN

Business Name

SHIRLEY A GREEN

Original Issue Date

08/29/1991

Effective Date

08/29/1991

Expiration Date

03/31/1994

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005