ELIZABETH SUE GREENE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158030

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

SUE

Last Name

GREENE

Business Name

ELIZABETH SUE GREENE

Original Issue Date

11/30/2004

Effective Date

11/30/2004

Expiration Date

03/31/2005

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005