MARY M GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153833

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

GREEN

Business Name

MARY M GREEN

Original Issue Date

03/22/2004

Effective Date

02/18/2020

Expiration Date

03/31/2021

City

LOVES PARK

State

Zip

61111

Ever Disciplined

LastModifiedDate

07/20/2021