ADRIENNE E GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194806

License Status

NOT RENEWED

Business

First Name

ADRIENNE

Middle

Last Name

GREEN

Prefix

Business Name

ADRIENNE E GREEN

Original Issue Date

10/15/2009

Effective Date

03/22/2011

Expiration Date

03/31/2012

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/07/2012