JESSICA A GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165442

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

GREEN

Business Name

JESSICA A GREEN

Original Issue Date

12/07/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007