PHYLLIS D GREEN - Pharmacist License in Illinois | # 049101173

PHYLLIS D GREEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101173

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005