CHARLENE DENISE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172180

License Status

NOT RENEWED

Business

First Name

CHARLENE

Middle

DENISE

Last Name

GREEN

Business Name

CHARLENE DENISE GREEN

Original Issue Date

10/30/2006

Effective Date

10/30/2006

Expiration Date

03/31/2007

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007