ANGELA SUE GREEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183418

License Status

INACTIVE

Business

First Name

ANGELA

Middle

SUE

Last Name

GREEN

Business Name

ANGELA SUE GREEN

Original Issue Date

04/08/2008

Effective Date

01/26/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

01/12/2010