ANNETTA CHAN GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170951

License Status

NOT RENEWED

Business

First Name

ANNETTA

Middle

CHAN

Last Name

GREEN

Business Name

ANNETTA CHAN GREEN

Original Issue Date

08/29/2006

Effective Date

02/10/2015

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016