LISA RENEE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163434

License Status

NOT RENEWED

Business

First Name

LISA

Middle

RENEE

Last Name

GREEN

Business Name

LISA RENEE GREEN

Original Issue Date

09/01/2005

Effective Date

09/01/2005

Expiration Date

03/31/2006

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/11/2006