LAURIE A GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185025

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

Last Name

GREEN

Business Name

LAURIE A GREEN

Original Issue Date

06/18/2008

Effective Date

01/20/2009

Expiration Date

03/31/2010

City

BURNSIDE

State

Zip

62330

County

HANCOCK

Ever Disciplined

LastModifiedDate

05/04/2010