MATTIE L GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191503

License Status

NOT RENEWED

Business

First Name

MATTIE

Middle

Last Name

GREEN

Prefix

Business Name

MATTIE L GREEN

Original Issue Date

05/06/2009

Effective Date

03/22/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011