MYSHORRI DEEBLARE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163251

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006