PHYLLIS D GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101173

License Status

NOT RENEWED

Business

First Name

PHYLLIS D

Last Name

GREEN

Business Name

PHYLLIS D GREEN

Original Issue Date

09/03/1992

Effective Date

09/03/1992

Expiration Date

03/31/1999

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005