PENNIE LEE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130523

License Status

NOT RENEWED

Business

First Name

PENNIE

Middle

LEE

Last Name

GREEN

Business Name

PENNIE LEE GREEN

Original Issue Date

04/13/2000

Effective Date

04/13/2000

Expiration Date

03/31/2001

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/21/2005