CLAYTON MICHAEL GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165982

License Status

NOT RENEWED

Business

First Name

CLAYTON

Middle

MICHAEL

Last Name

GREEN

Business Name

CLAYTON MICHAEL GREEN

Original Issue Date

01/06/2006

Effective Date

01/06/2006

Expiration Date

03/31/2007

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/14/2007