ANN CAROLYN GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181346

License Status

NOT RENEWED

Business

First Name

ANN

Middle

CAROLYN

Last Name

GREEN

Business Name

ANN CAROLYN GREEN

Original Issue Date

01/02/2008

Effective Date

02/17/2009

Expiration Date

03/31/2010

City

WARREN

State

Zip

61087

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

05/04/2010