JUSTINE MARIE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194439

License Status

NOT RENEWED

Business

First Name

JUSTINE

Middle

MARIE

Last Name

GREEN

Business Name

JUSTINE MARIE GREEN

Original Issue Date

09/23/2009

Effective Date

02/18/2015

Expiration Date

03/31/2016

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016