SHAWNNA MARIE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154307

License Status

NOT RENEWED

Business

First Name

SHAWNNA

Middle

MARIE

Last Name

GREEN

Business Name

SHAWNNA MARIE GREEN

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

03/31/2005

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005