KATHLEEN L GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161004

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

GREEN

Business Name

KATHLEEN L GREEN

Original Issue Date

05/13/2005

Effective Date

01/18/2011

Expiration Date

03/31/2012

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012