TIFFANY ENJOLIE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145400

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

ENJOLIE

Last Name

GREEN

Business Name

TIFFANY ENJOLIE GREEN

Original Issue Date

10/18/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007