KELETHA MARIE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127582

License Status

NOT RENEWED

Business

First Name

KELETHA

Middle

MARIE

Last Name

GREEN

Business Name

KELETHA MARIE GREEN

Original Issue Date

09/21/1999

Effective Date

09/30/2022

Expiration Date

03/31/2023

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023