HEATHER ANNE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144650

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

ANNE

Last Name

GREEN

Business Name

HEATHER ANNE GREEN

Original Issue Date

09/13/2002

Effective Date

09/13/2002

Expiration Date

03/31/2006

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/11/2006