COLLEEN M GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132983

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

GREEN

Business Name

COLLEEN M GREEN

Original Issue Date

10/06/2000

Effective Date

10/06/2000

Expiration Date

03/31/2004

City

BEASON

State

Zip

62512

County

LOGAN

Ever Disciplined

LastModifiedDate

10/20/2005