TIFFANY LEE GREEN - Pharmacist License in Illinois | # 049191687

TIFFANY LEE GREEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191687

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Middle

LEE

Last Name

GREEN

Business Name

TIFFANY LEE GREEN

Original Issue Date

05/15/2009

Effective Date

05/15/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010