MARTIN W GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201767

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

Last Name

GREEN

Business Name

MARTIN W GREEN

Original Issue Date

12/02/2010

Effective Date

02/27/2012

Expiration Date

03/31/2013

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013