MATTIE L GREEN - Pharmacist License in Illinois | # 049191503

MATTIE L GREEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191503

License Status

NOT RENEWED

Business

N

First Name

MATTIE

Middle

L

Last Name

GREEN

Prefix

MR

Business Name

MATTIE L GREEN

Original Issue Date

05/06/2009

Effective Date

03/22/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011