DONALD A GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125109

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

GREEN

Business Name

DONALD A GREEN

Original Issue Date

03/24/1999

Effective Date

03/24/1999

Expiration Date

03/31/2002

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

12/06/2005