DEANDRA LARISSA GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117495

License Status

NOT RENEWED

Business

First Name

DEANDRA

Middle

LARISSA

Last Name

GREEN

Business Name

DEANDRA LARISSA GREEN

Original Issue Date

05/07/1997

Effective Date

05/07/1997

Expiration Date

03/31/2000

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005