PATRICK J GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139204

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

GREEN

Business Name

PATRICK J GREEN

Original Issue Date

11/14/2001

Effective Date

03/21/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012