ANDREA J GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109539

License Status

NOT RENEWED

Business

First Name

ANDREA J

Last Name

GREEN

Business Name

ANDREA J GREEN

Original Issue Date

02/15/1995

Effective Date

03/10/2014

Expiration Date

03/31/2015

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/11/2015