MICHAELA LYNN GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144398

License Status

NOT RENEWED

Business

First Name

MICHAELA

Middle

LYNN

Last Name

GREEN

Business Name

MICHAELA LYNN GREEN

Original Issue Date

08/30/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009