SUSAN K GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103555

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

GREEN

Business Name

SUSAN K GREEN

Original Issue Date

05/27/1993

Effective Date

05/27/1993

Expiration Date

03/31/1994

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005