NICOLE ANN GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145769

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

ANN

Last Name

GREEN

Business Name

NICOLE ANN GREEN

Original Issue Date

11/12/2002

Effective Date

11/23/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012