MYSHORRI DEEBLARE GREEN - Pharmacist License in Illinois | # 049163251

MYSHORRI DEEBLARE GREEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163251

License Status

NOT RENEWED

Business

N

First Name

MYSHORRI

Middle

DEEBLARE

Last Name

GREEN

Business Name

MYSHORRI DEEBLARE GREEN

Original Issue Date

08/25/2005

Effective Date

08/25/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006