THEODORA KENYATTA GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128835

License Status

NOT RENEWED

Business

First Name

THEODORA

Middle

KENYATTA

Last Name

GREEN

Business Name

THEODORA KENYATTA GREEN

Original Issue Date

01/03/2000

Effective Date

06/10/2015

Expiration Date

03/31/2016

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

05/20/2016